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We all know about the significance of the patientphysician relationship, as doctors. Based on our ideas, a couple of times, this relationship would be much more valuable than complicated procedures or diagnostic tests (Dixon, 1989; Lucchiari et al., 2013). As much as patients need treatment, many of them need intrinsic support from their doctors. Maybe it seems irrational, but outcome and prognosis of disease can rely on the doctor-patient relationship (Gill et al., 1972). Consequently, due to improving outcomes in physician practices, developing our relationship with patients is our obligation. I was observing patients in my clinic on a warm day in the summer of 2012. It was about afternoon when Sarah and her father came in. Sarah was a sweaty 16-year-old girl. Since Sarah was 10 years old, I had been their family doctor and I knew them well over these years. That day Sarah seemed sick that was unusual. She came with chief complaint of a blunt pain in her left knee which had started about two weeks ago. She had also suffered from an intermittent, low-grade fever. An irregularity in anterior side of her left tibia was observed during the physical examination. I ordered a radiographic scan of the left limb for better evaluation. Radiologist reported a central osteolytic tumor in the left tibial metaphysis which expanded toward the knee. Increased level of erythrocyte sedimentation rate and mild leukocytosis were detected in her blood test. How is it possible to tell a 16-year-old girl that she has bone cancer most likely? I was confused what to say. Therefore, I decided to say nothing. “Maybe it is not important” I told her. “Nevertheless I will introduce you for better evaluation to an orthopedic surgeon”. Sarah returned with her both mother and father a month later. It was clear that the surgeon told them the embarrassing news. They delineated the experiences of the past month with downcast faces. Sarah had gone under bone biopsy which is a painful and irritating procedure for patients either adults or children. Her father gave me a bulk of sheets including immunohistochemistry and pathology reports and a plan for treatment. As I had suspected, the results determined that she had Ewing sarcoma. Treatment plan was transfemoral amputation followed by 5 courses of radiotherapy. Among the bulk of papers, I found a request from orthopedic surgeon wanted me to explain the situation to Sarah and her parents and psychological prepare them for the operation. I felt a difficult task which was ahead of me. I explained the indications of the tumor briefly and requested them LETTER to the EDITOR

Importance of Patient-Physician Relationship in Cancer Prevention: A Self Experience-Based Survey