Which doctor should I be seeing

I had BMX and chemo.  I do all my follow ups with the medical oncologist.  I would recommend that you be seen by a MO, who, in my experience, has the best overall view of treatment needs and appropriate follow up needs.

My BS is my go to dr for everything. Her office set up a consult with an onc to discuss tamox (I chose not to take it). Her office set up consult with PS (should I have PBM). After scheduled mammos and mri's, she's the one I talk with about results. She is amazing. There have been a few times I left a message for the nurse, and my BS called me back herself.

The first BS I had was a tool. No dr should tell you to do your own research (my tool dr did). My advice is to find a better BS. You should not have to do all this work yourself. It was an incredible difference once I switched from the tool dr to the amazing BS. It made all the difference in the world.

Good luck.

If you want to go the antihormonal route, then some places have you go to an oncologist, but other places make you go to a breast surgeon for these.  (My 2nd opinion at an NCI-certified institution had their LCIS patients go to a breast surgeon for tamoxifen.)

Personally, I think a medical oncologist has much more knowledge about antihormonals than surgeons do.  If you have a more complex medical problem, such as are at higher risk for emboli or arthritis (which can be a problem with some anti-hormonals), then your medical oncologist is, on average, understand more about your situation than a breast surgeon will.

Surgeons are trained to do surgery.  Most of them like to do surgery, which is why they became surgeons. Obviously, if you want to explore PBMs with reconstruction, you need to consult with a plastic surgeon (at least eventually).

My new onc wants me to see me once a year, and have another doc (such as my primary care doc or gyn doc) do my 2nd clinical exam/year.  So different docs like to do things differently. I absolutely cannot stand my breast surgeon, so I haven't seen her since 2006.

You don't have to make your decision before you see a doc.    But if you know beforehand that you would definitely not want treatment X, then you don't have to explore that option with the appropriate doc.

I think that an oncologist should be your main MD .Mine coordinated all my exams and kept track of my evolving family history. I see mine every 3-4 months and when I had LCIS she kept track of all exams and tests, still does . I saw my BS for a post-op visit and then maybe one more a few months later but that's about all.

I have my 6 month follow up mammogram in a week.  I am very nervous about this since I have noticed a small lump in the same breast that has the LCIS, ALH and ADH.  Hoping that it is nothing but feeling like it is something.