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The Initial Consultation: Malignant Disease

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Breast Disease

Abstract

There is a singular opportunity and inherent responsibility associated with the initial consult for a newly diagnosed breast malignancy. The quality of this encounter impacts the effectiveness of the entire care plan. The advent of percutaneous biopsy for the diagnosis of breast lesions has allowed us the ability to streamline our surgical planning and minimizing multiple, and often unnecessary, procedures. The recent popularization of a multidisciplinary approach to the treatment of breast cancer has emphasized the importance of identifying high-risk tumors in those patients that may benefit from neoadjuvant systemic therapy, genetic evaluation, and a comprehensive, collective decision-making process to improve outcomes. The surgeon is often the gatekeeper and the first physician to have a detailed discussion with breast cancer patients about their treatment options, both surgical and nonsurgical, that outlines both the sequence and clarity of their treatment plan.

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Correspondence to Barbara L. Krueger MD, FACS .

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Krueger, B.L., Riker, A.I. (2015). The Initial Consultation: Malignant Disease. In: Riker, A. (eds) Breast Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1145-5_7

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  • DOI: https://doi.org/10.1007/978-1-4939-1145-5_7

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1144-8

  • Online ISBN: 978-1-4939-1145-5

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