Q: Will getting a second opinion from an oncologist change my treatment?
When faced with a cancer diagnosis, patients often feel pressured to start treatment immediately. But taking the time to seek a second opinion from another oncologist can sometimes mean the difference between an ordinary treatment plan and a life-saving one.
Why a Second Opinion Matters
Cancer is complex. Two oncologists may interpret the same scans or pathology results differently, especially when it comes to borderline cases or rare subtypes. A second opinion can:
- Confirm the diagnosis and stage of cancer.
- Reveal new treatment options such as clinical trials, targeted therapies, or surgical techniques.
- Prevent overtreatment or undertreatment, both of which can affect survival and quality of life.
In fact, research shows that second opinions in oncology often result in changes to the treatment plan — ranging from small adjustments in dosage to completely different strategies.
When to Seek a Second Opinion
- Before starting treatment: The best time is after diagnosis but before the first treatment session.
- If treatment isn’t working: When a cancer progresses despite therapy, a fresh perspective may uncover new options.
- For rare or aggressive cancers: Specialists at major cancer centers may have more experience than local hospitals.
- When surgery is recommended: Surgical techniques vary, and a second opinion may present less invasive or more advanced options.
How to Get a Second Opinion
- Ask your current oncologist: Most doctors encourage second opinions and may even recommend specialists.
- Choose an NCI-designated cancer center: These institutions often have cutting-edge expertise and access to the latest therapies.
- Gather your records: Pathology slides, imaging results, and treatment notes should be shared with the new doctor for review.
- Use telemedicine: Many cancer hospitals now offer virtual second opinions, making access easier than ever.
Addressing Patient Concerns
- Time Delay: Patients worry that waiting for another consultation will waste precious time. In most cases, a delay of a week or two does not affect outcomes but can make a huge difference in treatment choices.
- Insurance Coverage: Many insurance plans cover second opinions, particularly for cancer, given the stakes involved.
- Offending the Doctor: Reputable oncologists understand the importance of second opinions and rarely take offense.
The Bottom Line
An oncologist’s second opinion can change everything — from confirming your current plan to uncovering advanced treatments that you didn’t know existed. For anyone facing a cancer diagnosis, taking this step is not just wise — it’s empowering.