Your First Visit
Dr. Michael D.Grant, M.D., F.A.C.S.
You have had a recent abnormal mammogram or you have recently found a lump in your breast. You are seeking an opinion and/or treatment. At the time you schedule your appointment, you will be asked to bring any mammogram and/or sonogram films done at an outside facility. If you have not yet had a mammogram we will help you to schedule one at the Baylor Breast Imaging Center just prior to your appointment with Dr. Grant. If you bring films from an outside facility, Dr. Grant and a radiologist from the Baylor Breast Imaging Center will review all of your films. You may be asked to go to the Baylor Breast Imaging Center for some extra views or a sonogram. Once this has been completed you will come back to Dr. Grant's office for a thorough breast and axillary examination. By the time you meet Dr. Grant, he will have reviewed all of your films.
Upon completion of your examination, Dr. Grant will make his recommendations which could be any one or a combination of the following:
Three or six month follow up
One year routine follow up
Stereotactic or sono guided core needle biopsy
Core needle biopsy Excisional biopsy
Excisional biopsy with needle localization
All procedures will be scheduled at a later date and can usually be scheduled within 3 to 10 days. We make every attempt to coordinate with your schedule, and we will complete the recommended procedure as quickly as possible.
You have had a recent breast biopsy (needle or excisional) and are coming to the office for a second opinion, surgery, and/or treatment. At the time you schedule your appointment, you will be asked to bring (to your appointment) your recent mammogram and/or sonogram films. You will also be asked to bring your actual pathology slides and report from the pathology department at the hospital where the biopsy was done. Your films will be reviewed by the radiologist at the Baylor Breast Imaging Center and Dr. Grant. Your slides will be reviewed by a Baylor pathologist and a report will be issued. Once this has been accomplished, you will be taken to an exam room where an assistant will review your past medical history. Then Dr. Grant will join you and give you an extensive breast and axillary exam. Once this is completed you will get dressed and be taken to the library for a consultation. If you wish for your family or friends to hear the consultation, they may join you. At this time Dr. Grant will review with you his findings from your films, pathology, and examination. He will then further review what surgical options you have; such as preserving your breast (lumpectomy), removal of the breast (mastectomy) and axillary node dissection or sentinel node biopsy. In the case of invasive cancer diagnosis, you may need to undergo additional pre-operative testing. You may also need to have some routine blood work drawn preoperatively. If lumpectomy is an option for you, you will be scheduled for a consultation with a radiation oncologist before surgery. If mastectomy is your choice and you are a candidate for immediate reconstruction, we will schedule a consultation for you with a plastic surgeon. Dr. Grant will thoroughly explain to you the pros and cons of each procedure. All surgeries, with the exception of mastectomy, can be done on an out-patient basis. Dr. Grant will also explain to you the side effects of each surgical procedure. He will not be able to extensively discuss your prognosis at this point. Your surgery and pre-operative testing will need to be completed prior to that determination. You will, of course, also be given the opportunity to ask all of your questions. We highly recommend you make a list of your questions and bring them with you to your consultation. Once surgery is complete and pathology has been finalized, you may be referred to a medical oncologist. The medical oncologist will have a consultation with you to determine if chemotherapy and/or anti- hormonal therapy will be of benefit to you.