Local and regional therapy for primary breast tumors. Answers to major questions

Because all primary care physicians see patients with breast cancer, it is imperative that they maintain an up-to-date working knowledge of its diagnosis and treatment. The diagnosis of breast cancer requires awareness and diligence on the part of both physician and patient, and surgical consultation is most appropriate before any invasive diagnostic procedures are done. The ultimate treatment plan evolves from consideration of tumor- and patient-related factors. Of these, the ratio of tumor size to breast size, the invasiveness and distribution of the tumor, and the individual patient's attitude and concerns are most important.