Navigating Breast Cancer: A CancerMap Pathway Guide

Breast Cancer Pathway Overview: Symptoms Diagnosis Coming Soon: Staging → Coming Soon: Treatment & Ongoing Care

This CancerMap pathway guide outlines common phases of the breast cancer experience, recommendations from people that have experienced breast cancer as well as healthcare providers for how to navigate this experience. It also contains links to resources that relevant to understanding this experience. People do not always move through these each phase of the breast cancer experience in the same way or order.

  • Designed for adults being evaluated for possible breast cancer.

  • This page discusses diagnosis, early and advanced cancer, curative and non-curative intent treatment, and surveillance and palliation. Some people may find this information difficult or emotionally challenging.

  • Provides general educational information—not personal medical advice.

  • About a 13-minute read

  • Printer-friendly version

  • Why Is This Happening?

From discovery to treatment and beyond, breast cancer often unfolds in phases. Initially, a person may notice a concerning finding in the breast or armpit or other symptom somewhere else in the body. Other times, something concerning is identified on a test like a screening mammogram. This usually leads to determining whether a cancer is present and learning more about it. After that, a treatment plan is developed, followed by recovery or adapting to life with advanced disease. Throughout these phases, those affected by the cancer diagnosis, including the individual with the diagnosis and their friends and family, will be affected in different ways and need different types of information.

What happens at each phase is unique to each person. Not everyone experiences each phase of cancer care the same way. Peoples experiences are dependent on their own personal experiences, the other aspects of their lives, the nature of the breast cancer itself, and the treatment that is tried. Some common ways that the care pathway may differ include:

  • Not every breast cancer experience starts the same way.

  • Tests to confirm and understand the breast cancer may happen in different orders.

  • Sometimes treatment like chemotherapy happens before surgery, other times it happens after.

  • Some people are diagnosed with advanced disease, where surgery to remove the cancer is not an option.

  • What Can I Expect?

The pathway map below shows common phases of breast cancer care. You click learn more at the bottom of any phase to learn more about it, including what is commonly involved and get tips on how to better navigate it.

How to use this pathway map:

  • Scroll down and find the phase that feels closest to what's going on for your now

  • Click "Learn More" to explore common topics

  • Explore the other phases to see what may come next

Phase 1:


Signs and Symptoms

You may be here if:
  • You noticed a change in your breast or underarm
  • A mammogram found something unusual
  • You are worried about symptoms that could be related to breast cancer
What's happening :

You are taking steps to understand symptoms or screening test findings.

Common questions:
  • Should I be worried?
  • What happens next?
  • What tests might I need?
  • How long until I know more?
  • Could this be something other than cancer?
Learn More

Phase 2:

 

Diagnosis

You may be here if:
  • You were told more tests are needed
  • You are waiting for imaging, biopsy, or test results
  • You were recently told you may have breast cancer
What's happening :

You are having tests to understand what may be causing symptoms or abnormal findings.

Common questions:
  • Should I be worried?
  • Why do I need a biopsy?
  • How accurate are these tests?
  • What happens next?
Learn More

Phase 3:


Staging

You may be here if:
  • Breast cancer has been found on biopsy and more information is being gathered
  • You are having scans and additional testing
  • Your healthcare team is discussing stage, subtype, or treatment options
What's happening :

You are learning more about the cancer, including its type, characteristics, and whether it has spread.

Common questions:
  • How serious is this?
  • What does this mean for my future?
  • Why do I need more scans?
  • Will I need chemotherapy?
Learn More

Phase 4 and 5:


Treatment and Beyond

Diagnosis and staging help healthcare professionals understand what treatment goals are possible.

For some people, treatment is aimed at curing the cancer - at CancerMaps we call this curative intent. For others, treatment focuses on controlling cancer, managing symptoms, prolonging life, and supporting quality of life - we use the term non-curative intent.

Not every pathway applies to every person, and pathways may change over time.

 

Explore the sections below to learn more.

Curative Intent

Phase 4: Treatment

You may be here if:
  • Treatment options being discussed with you are focused on curing the breast cancer
  • You plan involves breast surgery 
  • Treatment is about to begin or has started and has a specific number of steps involved
What's happening :

You are considering or have started a treatment plan that includes surgery to move the cancer in the breast.

Common questions:
  • What treatment options do I have?
  • What is the goal of treatment?
  • How will treatment affect my daily life?
  • What side effects might happen?
  • How long will treatment take?
  • What happens next?
Learn More

Phase 5: Surveillance

You may be here if:
  • Treatment has finished or changed to follow-up care
  • You are returning to regular checkups and mammograms
  • You are adjusting to life after treatment
What's happening :

You are being monitored for signs of recurrence while recovering and returning to life after treatment.

Common questions:
  • What follow-up tests will I need?
  • What symptoms should I watch for?
  • What are the chances the cancer could come back?
  • How do I adjust to life after treatment?
  • How long will follow-up continue?
Learn More

Non-Curative Intent

Phase 4: Treatment

You may be here if:
  • You were told treatment is focused on controlling the cancer rather than cure
  • Cancer has spread beyond the breast and axilla, and
    cannot be removed completely by surgery
  • Treatment is about to begin or has started and doesn't have predefined end
What's happening :

Treatment is focused on controlling the cancer and supporting health and quality of life over time.

Common questions:
  • What treatment options do I have?
  • What are the goal of treatment?
  • How will treatment affect my daily life?
  • What side effects might happen?
  • What happens next?
Learn More

Phase 5: Supportive & Palliative Care

You may be here if:
  • You are dealing with symptoms, side effects, or changes in daily life
  • You want more support for quality of life, wellbeing, or planning ahead
  • Your healthcare team has mentioned supportive or palliative care
What's happening:

You are receiving support to help manage symptoms, improve quality of life, and plan for changing needs over time.

Common questions:
  • How can supportive or palliative care help me?
  • What symptoms can be treated or managed?
  • What support is available for me and my family?
  • How can I plan for changing needs over time?
  • How can I ensure my care focuses on what matter most to me?
  • What happens at end-of-life?
Learn More
  • What Can I do?

A breast cancer diagnosis, and the experience that follows, is seldom viewed as a positive thing. But being prepared and taking steps to cope in healthy ways will help you get through it as best you can. The following sections include tips and advice from people that have been in your shoes as well as from healthcare professionals to help you navigate your first appointment. After you have reviewed the content below, check out the "Quick Reference Guide" at the top of the page for a handy checklist to help get you ready for this important meeting.

  • Patients and Their Support People Recommend:

Pending...

  • Patients and Their Support People Recommend:

Bring someone with you when possible or have someone join on speakerphone. Appointments can feel overwhelming. Having a trusted person attend appointments, take notes, or help remember information can be helpful. If someone can't be with you in person, ask if you can have someone join the appointment on speakerphone and use your cellphone to call them.

Pay attention to how you are coping. Strong emotions, uncertainty, sleep changes, and stress are common. Let your healthcare team know if you are struggling and if there is something that can be done to better support you.

Find a way to record important conversations with healthcare providers. Medical appointments can be stressful and often a lot of information gets shared rapidly. Recording the conversation on smart device can be a good way to make sure nothing gets missed. This is especially helpful if you are attending an appointment alone and being given important information. Make sure to ask permission before recording anyone, many healthcare professionals will be okay with it if you explain why you are doing it. 

Find time for the things you enjoy. Whether you are navigating a personal breast cancer diagnosis or supporting someone that is experiencing breast cancer, it can be overwhelming. Try to make time to just focus on things that aren't related to cancer - watch a movie, go outside for a walk, plan a trip, or phone a friend to talk about anything else - taking a break will help you have the emotional reserve you need to cope with the ups and downs of the cancer journey. 

  • Explore Further
Trusted Resources on This Topic 
 

Working with your healthcare team - Content from the Canadian Cancer Society

What can I do BEFORE my first appointment with the oncologist?Content from OncoLink/University of Pennsylvania

Making the Most of Your First Appointment with Your Oncologist - Content from the Memorial Sloan Kettering Cancer Center

Related Topics You May Be Wondering About

Cancer and Work - Content from McGill University, Montreal Canada

Understanding Your Lab Test Results - Content from the American Cancer Society

Coping With Anxiety and Stress - Content from the Canadian Cancer Society

Research Related to This Topic
  • Get Help From A Real Person

Educational resources can help you understand the cancer journey. People can help you navigate it. While online resources can be valuable, sometimes the most helpful support comes from another person.

 

Your healthcare team is often a good place to start. Many communities also offer cancer navigators, counsellors, peer supporters, and other services that can provide guidance, support, and practical assistance.

 

Explore the CancerMaps Real-People Resources Directory to find organizations that can connect you with navigators, counsellors, peer supporters, and other people who can help.

 About This CancerMap

Author: Dr. Maclean Thiessen MD PhD FRCPC, Medical Oncologist - Winnipeg, Manitoba.

Patient Contributors: permission to publish names of contributors pending

This page reflects the experiences of the patients and clinicians involved in its development and review. Healthcare systems, care pathways, services, and patient experiences vary across regions and over time.

First Published: June 8, 2026

Initial Development: Content based on a data collected and analyzed as part of the CancerMaps research project. Iteratively reviewed with study participants until content and study results finalized.

Date Reviewed: No formal review/update has take place to date.

Click here for more information about the CancerMaps project, findings, and how to use the CancerMaps format.

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