CareMount Medical’s breast surgeons are among the most experienced in New York State and use the most advanced technology to aid faster recovery for our patients.
Breast cancer treatment includes treatment of the breast and treatment for cancer cells that may have spread to other parts of the body. Surgery is the first step in the treatment of early breast cancer. Breast cancer surgery involves removing the abnormal tissue in the breast, with either breast conservation surgery or mastectomy, and evaluating lymph nodes in the axilla (underarm).
Breast cancer patients are treated in a community setting given the high level of expertise here at CareMount Medical. For more information, or to make an appointment with a specialist, please call us at one of our Breast Center Facilities:
Fishkill – 845-231-5600 | Mount Kisco – 914-241- 1050 | Northern Westchester Hospital – 914-242-2991 | Putnam Hospital Center – Camarda Care Center – 845-279-2000 | Poughkeepsie Columbia – 845-231-5600
Breast conservation surgery involves a lumpectomy followed by radiation therapy. A surgical lumpectomy removes the cancer cells and a margin of surrounding normal tissue through a cosmetically oriented incision. Surgery is performed as an outpatient procedure. For extremely small cancers, a patient may have the abnormal area identified by a radiologist immediately prior to surgery. This involves having a thin wire placed in the breast using imaging to target, or localizes the abnormal area. If radiation therapy is necessary, it is typically given starting approximately a month after surgery as part of the complete treatment.
Mastectomy is when all of the breast tissue from the affected breast is surgically removed. If a woman has a mastectomy she may want to consider breast reconstruction either immediately or shortly thereafter. During a consultation, the surgeon will review options with a breast cancer patient, to decide which choice is best for her individual situation. Whenever possible, breast conservation surgery is offered.
DIEP Flap, also known as Deep Inferior Epigastric Artery Perforator, is an advanced microsurgical technique used post-mastectomy to recreate the patient’s breasts using their own tissue. The muscle-sparing procedure, involves the removal of a “carefully contoured” section of fat, skin and blood vessels from the patient’s abdomen and the placement of the tissue on the chest wall where the plastic surgery team reattaches the vessels and rebuilds the breasts. Those who qualify for the DIEP flap procedure usually have the surgery the same day as their mastectomy and this is called immediate breast reconstruction. The DIEP flap procedure is also an excellent option if prior breast implant reconstruction has not matched the patients expectations or has complications. The procedure lasts about six to eight hours and the recovery time ranges from four to eight weeks. Candidates for the DIEP flap should be in good general health and have enough of their own abdominal tissue to use in order to form the new breasts.
Wire-Free Radar Breast Localization System enables breast surgeons and radiologists at CareMount Medical to use the SAVI SCOUT ®, a wire-free radar breast localization system designed to precisely locate and guide the removal of a tumor during a lumpectomy or surgical biopsy procedure. The system can localize a tumor that cannot be easily felt and can be used for a patient who is diagnosed with cancer or for a patient who has suspicious activity that needs to be evaluated further and possibly removed.
As part of treatment it is important to determine whether lymph nodes are involved. If a woman’s lymph nodes have been affected there is an increased chance that the cancer cells have spread to other parts of the body. The only way to determine if lymph nodes have been affected is to examine them under a microscope.
A sentinel lymph node biopsy is a minimally invasive procedure to examine the underarm lymph nodes. At the time of surgery, the surgeon injects a radioactive tracer and blue dye into the breast. The tracers follow the microscopic lymph flow of the breast tissue to the axillary nodes. The sentinel nodes (usually 1-3 nodes) are removed through a small incision in the underarm, and then examined microscopically. If the sentinel node contains cancer, the surgeon will remove additional lymph nodes (axillary lymph node dissection). If the sentinel nodes are clear, then no further lymph node surgery is needed.
Connect with us. Cancer Center Referral Service: (844) 484-3292