It is important that breast cancer patients find a cancer specialist that she can communicate with and who will address her concerns. However, there are medical systems in which it may be difficult for the patient to connect with one physician who will act as her coordinating team leader. If you are in this situation, don't despair. You just need adequate information to get you the treatment you need and be your own team leader. It is possible to go through this process without a physician to spearhead your treatment plan and still get high quality health care.

The overall treatment plan revolves around two critical decisions. One deals with local control and the second with the need for systemic therapy. Often, cancer patients and their doctors cannot decide upon the issue of systemic therapy until all the information is available from the surgical procedure.

Since the diagnosis and treatment of breast cancer are done primarily on an outpatient basis, cancer patients may travel to various locations for different aspects of treatment. Some women may come to a breast cancer facility for the definitive surgery and then have radiotherapy at a facility closer to their home. If patients require various therapies, it is important to consider doing something similar in order to make treatment appointments as convenient as possible.