I've never heard of a setup like this, Cass. Usually the person who does the mammogram is different than the radiologist who reads it; that same radiologist might do the biopsy, but I've never heard of a radiologist performing a lumpectomy or mastectomy, nor have I heard of a breast surgeon doubling as a medical oncologist. If he/she is scheduled to do your tumor removal surgery, I'd go elsewhere. There's a reason doctors specialize in particular areas; it's so they can become really expert at what they do. I think a generalist, in this case, might not be the best person to oversee your treatment. Check out your local hospital for a recommendation. And take a look at this list of Comprehensive Cancer Centers, which are cancer centers designated by the federal government as being "bes tin class." Good luck - PJH