What does the Breast Care Program offer?

A coordinated, multi-disciplinary approach to better serve patients diagnosed with breast disease. We look at the whole process, including mammography, pathology, treatment protocols, physician coordination and ongoing support after diagnosis of either benign or malignant problems. Our goal is to help make the patient’s experience easier, smoother and less daunting.

Coordination between various care providers can be significant, with referrals coming from OB/GYNs, family practitioners and internists; diagnosis by radiologists, surgeons and pathologists; and treatment by surgeons, medical and radiation oncologists, and, sometimes, plastic surgeons. There are also services to support the breast patient, including the availability of an American Cancer Society Patient Resource Navigator.

·    What is a Patient Resource Navigator?

The Patient Resource Navigator is the heart of our breast care program. A registered nurse based at Winchester Medical Center, the Patient Navigator provides guidance through breast cancer diagnosis, treatment options and recovery. Her role is to coordinate care with the various physicians you will see, assisting in making any necessary appointments. She also provides general information and helps you access the range of programs the American Cancer Society makes available to patients and their families.

If my mammogram is abnormal, do I have breast cancer?

Abnormal mammogram findings do not automatically mean a diagnosis of breast cancer but may require further evaluation and follow-up. Abnormal breast tissue may be classified in a number of ways and can indicate either a benign condition or cancer.

What’s your approach to treating breast cancer?

The management of breast cancer often involves several different medical specialties, with some therapies directed at local regional disease (that is, in the breast), and others, such as chemotherapy, directed at disease elsewhere in the body. Following diagnosis, in general, the first physician you see will be a surgeon.

·    What kind of surgery is recommended?

To ensure the best chance of successful treatment for breast cancer, all cancerous tissue must be removed, usually through surgery. Advances have led to more surgical options in the treatment of breast cancer. All surgical treatments are discussed in consultation with other cancer physicians, and specific treatments are recommended. You and your doctor will decide which surgical treatment is best for you.

·    Do you recommend radiation therapy before or after surgery?

Radiation therapy is a localized treatment which is sometimes added to surgical management in breast cancer to improve the chances of controlling the disease in the breast, chest wall and surrounding lymph nodes. It is commonly used after lumpectomy to reduce the risk of cancer coming back in the breast. Radiation therapy is also used at times following mastectomy for patients at high risk for local recurrence.

If your doctor thinks radiation therapy is indicated for you, consultation is arranged with a radiation oncologist to discuss the treatment thoroughly.

·    When is chemotherapy recommended?

As part of your treatment for breast cancer, you will likely discuss chemotherapy with your doctor. This systemic treatment is used under certain circumstances to help lower the chance that breast cancer will return and may be given before or after breast surgery. Every patient’s ideal treatment plan is different. Depending on your situation, your doctor may recommend individualized systemic therapy such as chemotherapy or hormonal therapy.

There are many different kinds of chemotherapy and different treatment schedules. If chemotherapy is indicated for you, your doctor will recommend the specific drug(s) and discuss the schedule and duration of treatment as well as side effects.

·    How do I learn about clinical trials?

A private medical oncology practice in Winchester participates in clinical research and offers patients access to available clinical trials. To learn about currently available open clinical trials, call 540-662-1108.

What is Wellspring?

Wellspring is a source for people living with cancer and other chronic illnesses. We help patients and their families find the resources they need. We offer products, gifts and support services to address needs during and after treatment. Located at 525 Amherst Street in Winchester, VA. For more information, click here or call 540-536-4981.

Is there someone I can call about my questions or concerns?