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Cracking the Code: Breast Cancer Vocabulary for the Initial Visit

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PJ Hamel

PJ Hamel

Tue, September 05, 2006

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Oncologist–medical, radiation, and surgical: A medical oncologist is a doctor who specializes in the treatment of cancer. Usually your medical oncologist is the one you see for regular, long-term appointments. If you receive radiation therapy, the radiation oncologist is the doctor who determines how, where, and when it’s delivered; the radiation techs are the folks who actually position you on the table, head into the next room, and push the buttons that deliver the treatment. (They’re kind of like the Wizard of Oz–behind the curtain.) A surgical oncologist specializes in cancer surgery; he or she is the one who will remove the tumor(s) from your breast. If you’re having reconstruction, a plastic surgeon will take over from the surgical oncologist to rebuild your breast.

Pathologist: This is the doctor who’ll examine the cells in your tumor microscopically, to help determine your treatment. Usually, you don’t meet the pathologist.

Primary tumor: The main or largest tumor in your breast–the primary tumor–is the one identified on the mammogram, the one biopsied, and the one the surgeon will remove. Secondary (smaller) tumors may be discovered along the way, but this is the one that got you started down the path.

Radiation therapy (commonly abbreviated to just “radiation”): Often prescribed as a follow-up to a lumpectomy, radiation is the delivery of X-rays or radioactive materials to the breast area to destroy any remaining cancer cells.

Stages of cancer: Cancer is “staged” from 0 to 4, with 0 being the least advanced, 4 the most. A number of factors will be used to stage your cancer, which in turn will determine the most effective treatment. Ask your oncologist to explain how he or she arrived at your stage number.

 

Next: Breast Cancer's Confusing Vocabulary: the Follow-Up Visit

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