What To Expect
Although every person's breast cancer journey is different, they all usually start with a visit to an oncologist, which could include:
No matter which type of oncologist you see first, you'll receive care from our multidisciplinary breast cancer teams, who practice together extensively. Our teams will work with you to decide the best breast cancer treatment plan based on your personal needs.
Your doctors may suggest one or more of the following treatment approaches:
- Breast cancer surgery (surgical oncology).
- Chemotherapy (medical oncology).
- Radiation therapy (radiation oncology).
- Hormone therapy.
When surgery is advised, doctors may also prescribe neoadjuvant (before surgery) therapy to shrink the tumor or adjuvant (after surgery) therapy to kill any remaining cancer cells, or both.
What to Bring to Your First Breast Cancer Care Visit
Before your first visit, please gather or complete the necessary documents and bring them to your appointment.
Documents and information include:
- A list of questions to ask your care team.
- Completed New Patient Assessment Form.
- Insurance card and identification.
- Lab results.
- List of your current medications.
- Medical records from your other doctors.
- Pathology slides and written reports.
- X-rays and scans on a CD. Please ask your imaging facility to provide these scans in DICOM (digital imaging and communications in medicine) format.
How can I access my new patient paperwork?
After scheduling your appointment, we will mail you a packet of information that includes the initial paperwork needed for your appointment. Because we need a detailed personal and family health history, the paperwork is lengthy. Therefore, we ask that you complete as much of the paperwork as possible before your appointment.
How can I access my mammogram and breast ultrasound images?
If your previous breast images were taken at a UPMC imaging location, your provider should have electronic access to your images. However, we request that you bring all the images from the mammograms and breast ultrasounds you have had in the last five years.
You will need to call your imaging facility at least 48 to 72 hours prior to your scheduled appointment to request your images. Although we can view some images online, you MUST bring a CD with your images to your first appointment.
How long will my first breast cancer visit last?
Plan for your first visit to last two to four hours. During the visit, you will meet with multiple members of your cancer care team, who may recommend additional imaging scans or other tests.
What to Expect When You Arrive
When you arrive for your first appointment, you will be greeted by a receptionist who will:
- Ask you to complete paperwork, if needed.
- Check you in for your appointment.
- Verify your contact and insurance information.
After you are checked in, you will take a seat in the waiting room until your care team is ready for you. One of our patient care assistants will take your height, weight, and blood pressure before showing you to your exam room.
Your Breast Cancer Assessment
After you are taken to an exam room, you will meet with multiple members of your care team.
They will:
- Review your medical history, including previous imaging results.
- Review your family history.
- Perform a physical exam.
- Discuss your treatment options.
Making additional appointments
Our scheduler will coordinate your diagnostic testing and follow-up appointment. The breast center offers most diagnostic tests and procedures, including minimally invasive breast biopsies.
Lab appointments
Having your blood drawn is a vital step to ensure you receive the most accurate cancer treatment.
If you need lab work, your care team will:
- Sign you in for your appointment at the front desk and ask you to take a seat in the reception area.
- Direct you to the room to draw your blood.
- Receive and review the results of your tests, which may take up to 30 minutes.
Diagnostic and treatment appointments
If you are scheduled for a diagnostic or treatment appointment, your care team will:
- Take your vitals, height, and weight at each visit.
- Review your lab work before providing your treatment.
- Go over educational materials about the drugs, procedure, or other treatment you will receive.
Based on your specific cancer treatment plan, determined by you and your care team, injections may take 30-60 minutes. All other treatments may take 2-8 hours. Your doctor will let you know how long your specific treatments will take.
Clinical trial participation
You may be eligible to take part in a cancer research study. Research is crucial to finding new and better cancer treatments.
Research studies require a unique treatment plan with more steps and procedures than traditional cancer treatment. If you choose to participate in a clinical trial, please know that you might need extra time during each visit.
Your research nurse will provide details about your specific treatment.
Breast Cancer Care Co-Pays and Insurance
UPMC accepts many health insurance plans. We ask that you check with your health plan if you have questions about your coverage for doctor’s visits, emergency care, hospital stays, diagnostic tests, preventive screenings, or medical procedures. You're responsible for paying any non-covered charges.
If you have an insurance co-pay, you will be billed after your visit.
Common forms of payment we accept are:
- Cash or check.
- Debit cards.
- Flexible spending cards.
- Health savings account cards.
- MasterCard, Visa, Discover, and American Express.