Your First Visit

Dr.  Michael D.Grant, M.D., F.A.C.S.

 

 

Scenario Two: 

 

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 on the day of your scheduled visit. If you have not yet had a mammogram, we will help you to schedule one just prior to your appointment with Dr. Grant.  If you bring films from an outside facility, Dr. Grant and a specialized breast radiologist will review them and conclude if they are sufficient or if additional studies are needed. Once all necessary data is obtained, you will meet with Dr. Grant for a thorough breast and axillary examination. At this time, he will have reviewed all of your studies and be prepared to make recommendations for a course of treatment.

 

This recommendation 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 occur within 3 to 10 days. We make every attempt to coordinate with your schedule and will complete the recommended procedure as quickly as possible.     

Scenario One: 

 

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 a specialized, breast-trained radiologist and Dr. Grant while all pathology slides will be reviewed by a skilled pathologist followed by an issued report. 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 redress and be taken to our conference room 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 pre-operatively. 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  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, be given the opportunity to ask any questions or express any concerns you may have. 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.