A breast cancer diagnosis can leave you with many questions about what’s next. Our goal is to help you find answers so you and your loved ones can prepare for your first oncology appointment and the breast cancer treatment process.
After a breast cancer diagnosis, you will transition to a cancer care team led by a breast cancer surgeon. Because surgery is a part of most breast cancer treatment plans, patients will meet with one of our breast cancer surgeons shortly after diagnosis to determine the right type of surgery and timing. Willamette Valley Cancer Institute and Research Center (WVCI) partners with the breast cancer surgeons at Oregon Surgical Wellness (OSW).
If a breast surgeon determines the patient needs to see a medical oncologist first, they will refer them to a medical oncologist on the WVCI team. A medical oncologist is a doctor who specializes in non-surgical cancer treatments, such as chemotherapy, hormone therapy, and targeted therapy. They coordinate with other specialists in the cancer center, such as the surgeon and radiation oncologist.
As a breast cancer patient at WVCI, you will have access to both expert oncologists and breast cancer surgical specialists who will carefully review your specific diagnosis and consult with you and the rest of your care team to develop a personalized treatment plan.
In addition to the breast cancer surgeon and medical oncologist whom you meet with initially, you will also meet with a radiation oncologist if radiation therapy is a part of your treatment plan.
Other members of the breast cancer care team include:
At Willamette Valley Cancer Institute, your team includes a specially trained nurse navigator dedicated to providing support for you and your family throughout your breast cancer treatment journey. Your nurse navigator serves as a compassionate guide, helping you navigate the healthcare system, complete necessary paperwork, and coordinate appointments and treatments. The navigator also communicates with medical providers in our practice and beyond, advocating on your behalf.
If you’re experiencing side effects, your nurse navigator is a great resource to help you. Whether you’re at the cancer center or at home, feel free to reach out. They can also put you in touch with our social workers, financial counselors, and dietitian as needs arise. Be sure to talk with your nurse navigator regularly to receive the best possible assistance.
Breast cancer can begin in different areas of the breast, including the ducts, the lobules, and sometimes the tissue in between. The type of breast cancer you have will play a large role in your treatment plan.
Hormones such as estrogen or progesterone can fuel the growth of breast cancer. This can also lead to an overgrowth of the HER2 protein. Your treatment is based on the presence or absence of these.
Breast cancer stages are typically described as a number on a scale of 0 through IV (4), with stage 0 representing contained, non-invasive cancers and stage IV representing cancer that has spread beyond the breast.
Every breast cancer diagnosis is unique. Because of this, we create treatment plans for each patient individually.
If you are having a mastectomy, you will be asked if you would like to have breast reconstruction. Some patients may have surgery after a lumpectomy to even out the size and shape of the breasts. The decision about breast reconstruction is a personal one and should be considered carefully. Some women prefer to go flat after surgery. Talk to your surgeon about what you want before surgery, so they are clear on your preference.
While every cancer journey is different, support can be beneficial to any patient. We highly recommend that you take a relative or friend with you to your first appointment. Not only will they be there to provide emotional support, but they can also listen and help take notes on all the information you will be discussing. Having an extra set of ears may help you recall details later on.
During your first oncology appointment, you’ll be given a lot of information that may be hard to remember. To ensure you don’t miss anything, we suggest having a notebook to record important information. This notebook can be a place to record notes on how you’re feeling and the schedule of any medicines or supplements you’re taking. It is also a good place to jot down any questions, thoughts, or observations you think of between appointments with your cancer care team. When possible, add a date to your entry so all of your thoughts and notes are organized.
If you prefer a more modern method, consider taking notes on your smartphone or even recording audio clips. Whatever method suits you best is fine— pick one method and commit to using it regularly. Having well-documented information is one of the best ways to maintain open communication between you, your doctors, and your caretakers.
It’s important that you are confident about your breast cancer diagnosis. Many patients choose to get a second opinion before beginning any specific breast cancer treatment plans. At Willamette Valley Cancer Institute and Research Center, our physicians provide second opinions on breast cancer diagnosis and treatment options. Many insurance companies will cover a second opinion assessment. However, you should contact your insurance provider for verification of coverage for second opinion appointments.
The breast cancer specialists at WVCI are here to support you every step of the way, providing our patients with everything they need to feel informed and empowered during this time. Visit our Support Services page or read frequently asked breast cancer questions answered by our oncologists for more breast cancer resources. Various national resources may also help.
When you’re ready, select the location nearest you to make an appointment with one of our breast cancer doctors.
3783 International Court, Suite 200
Springfield, Oregon 97477