Personalized Treatment Options

Breast-Conserving Surgery (Lumpectomy)

For many patients, breast-conserving surgery removes the tumor while preserving most of the breast. Our surgeons use advanced oncoplastic techniques to achieve the best cosmetic outcomes.

Benefits:

• Preserves breast appearance

• Equivalent survival to mastectomy for appropriate candidates

• Shorter recovery time

• Less invasive

Mastectomy:

When mastectomy is recommended or chosen, we offer several options

• Simple Mastectomy - Removal of breast tissue

• Skin-Sparing Mastectomy - Preserves breast skin for reconstruction

• Nipple-Sparing Mastectomy - Preserves nipple and areola when appropriate

• Bilateral Mastectomy - Both breasts removed (risk reduction or patient preference)

Lymph Node Surgery

• Sentinel Lymph Node Biopsy - Minimally invasive sampling of first draining lymph nodes

• Axillary Lymph Node Dissection - When more extensive lymph node removal is needed

Breast Reconstruction

We offer immediate and delayed reconstruction options to help you feel whole again:

Implant-Based Reconstruction:

• Tissue expanders followed by permanent implants

• Direct-to-implant reconstruction

• Latest implant technologies

Autologous Tissue Reconstruction:

• DIEP flap (using abdominal tissue)

• Latissimus dorsi flap

• Other advanced flap techniques

Oncoplastic Surgery:

• Tissue rearrangement techniques

• Volume replacement procedures

• Symmetry procedures
  
  

Chemotherapy

Our medical oncologists are experts in administering and managing chemotherapy regimens:

• Neoadjuvant chemotherapy (before surgery)

• Adjuvant chemotherapy (after surgery)

• Treatment for metastatic disease

• Personalized regimens based on tumor characteristics

• Hormonal Therapy (Endocrine Therapy)

• For hormone receptor-positive breast cancers:

Tamoxifen:

• Aromatase inhibitors (anastrozole, letrozole, exemestane)

• Ovarian suppression (for premenopausal women)

• CDK4/6 inhibitors (for metastatic disease)

Targeted Therapy:

• For HER2-positive breast cancers:

• Trastuzumab (Herceptin)

• Pertuzumab (Perjeta)

• T-DM1 (Kadcyla)

• Neratinib (Nerlynx)

• Other novel HER2-targeted agents

Immunotherapy:

• For triple-negative breast cancer:

• Pembrolizumab (Keytruda)

• Atezolizumab (Tecentriq)

• Combination with chemotherapy

Precision Medicine:

• Genomic testing helps guide treatment decisions:

• Oncotype DX for early-stage hormone-positive cancer

• Foundation One for advanced cancers

• Clinical trial matching based on genetic profile

Our radiation oncologists provide personalized, patient-centered radiation treatment:

Techniques:

• Whole Breast Radiation - Standard treatment after lumpectomy

• Partial Breast Irradiation - Accelerated treatment targeting tumor bed

• Hypofractionated Radiation - Shorter course with equivalent outcomes

• Intraoperative Radiation Therapy (IORT) - Single-dose radiation during surgery

• Chest Wall Radiation - After mastectomy when indicated

• Advanced Planning - Techniques to minimize heart and lung exposure