Second Opinions and Timely Breast Cancer Treatment: What Patients Need to Know

Receiving a breast cancer diagnosis can understandably cause significant anxiety and concern about the next steps. Many patients consider obtaining a second opinion to ensure the recommended treatment aligns with their preferences and expectations. However, there is often worry that seeking additional medical advice could delay necessary treatment. Recent research indicates that pursuing a second opinion does not lead to significant treatment delays.

At the annual meeting of the American Society of Breast Surgeons in Las Vegas, new findings were presented showing that women who sought a second opinion after their initial biopsy still received prompt treatment consistent with established guidelines. In a study conducted at the Cleveland Clinic, 226 women diagnosed with breast cancer between January and July 2024 were followed. It was observed that women who sought a second opinion at the Cleveland Clinic began treatment, on average, within 41 days after their diagnosis, compared to 35 days for those who started treatment directly at the clinic. The median time from initial consultation with a cancer surgeon to treatment was 21 days, with no significant difference between the two groups. Importantly, all patients received treatment well within the 60-day window recommended by the Commission on Cancer.

The study also found that radiologists often recommended further diagnostic procedures, such as additional imaging or biopsies, more frequently for those seeking a second opinion—about 68% versus 26%. Surgeons’ recommendations for additional workup were similar regardless of whether it was the initial or subsequent consultation. Typically, second opinion patients underwent additional imaging or biopsies approximately 90% of the time, compared to 68% of patients who started treatment without seeking a second opinion.

Dr. Pooja Varman from the Cleveland Clinic emphasized the importance of exploring all treatment options and choosing a healthcare team that patients feel comfortable with, especially given the emotionally and physically challenging journey of cancer treatment. She reassured that obtaining a second opinion does not necessarily cause treatment delays and can be a crucial step for patients to make informed decisions about their care.

It is important to note that these findings are preliminary and presented at a professional conference; further peer-reviewed publication is needed for definitive conclusions. For more detailed information about second opinions and breast cancer care, resources like Memorial Sloan Kettering Cancer Center offer guidance.

In summary, seeking a second opinion in breast cancer diagnosis is a valid and valuable step that does not significantly impact the timeliness of treatment, supporting patients in making well-informed decisions without unnecessary delays.