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Questions to ask

Questions to ask when going for a mammogram from Astrid

  • Will you tell me the density of my breast, as I know it is crucial in reading the mammogram results? Please understand that density can only be seen on imaging; it has nothing to do with size or firmness. Density can change over time, so it is not a once-and-done deal.(If the answer is dense breast, please ask for a 3D mammogram, and most insurances must pay for an MRI in addition to a 3D mammogram)

    If images are not clear, ask for an ultrasound follow-up!

  • I have a family history of breast cancer; would it make sense to do genetic testing?

  • What are my risk factors that I should be aware of? Examples: body weight, lifestyle factors, age, hormone use/birth control, genetic mutations, benign breast conditions, menstrual and reproductive history, alcohol use

  • Based on my results, do you recommend screening more often or different screening methods in the future?

  • Lobular Cancer is not easily seen on a mammogram due to its linear growth pattern, especially in dense breasts. Are you confident that you got a clear picture from imaging?

  • What type of cancer do I have?

  • What is the stage of my cancer?

  • Is my cancer localized or metastatic?

  • If metastatic, what organs are involved?

  • Is my treatment considered adjuvant (to reduce the reisk of recurrence), curative, or palliative?

  • Do you agree with my treatment plan? Why or why not?

  • What is the role of the medical oncologist? Surgical oncologist? Radiation oncologist?

  • Should surgery or radiation be considered in my treatment plan?

  • What is the difference between an academic cancer center and community cancer center?

  • How would you suggest I am followed (what labs, imaging, and specialists?

  • What can I be doing to best tolerate my treatment?

  • What do you suggest for management of my symptoms?

  • Are there ways to manage my symptoms without more medicines?

  • Should I get a second opinion and what is advice on how to do so?

  • Should I be asking about a clinical trial for my case?

  • How do I talk to my children/parents/partner about my cancer?

  • Do I still have cancer?

  • How can I prevent a cancer recurrence?

  • Is there anything else I should know or be asking of my care team?