Our services include consultation for patients with gynecologic cancers as well as complex benign gynecologic surgical concerns. Our breast surgeons treat women, as well as men, with benign and malignant breast health issues. We provide education regarding genetic risk for cancers, as well as genetic testing. Our surgeons are credentialed to operate at several area hospitals. Mammography and breast ultrasound, and minimally invasive breast biopsies, are performed in our office.
Gynecologic Oncology
Our gynecologic oncologists evaluate and treat both benign and malignant conditions.
Treatment of gynecologic cancer is individualized, based on many factors. Our surgeons provide both surgical treatment and, when indicated, chemotherapy. They also work closely with radiation oncologists, who provide radiation treatments, which may be necessary for some cancers. Most cases are presented at a multidisciplinary conference, so that patients benefit from input from multiple surgeons, pathologists, radiologists, oncologists, and radiation oncologists, even before treatment begins. After treatment for cancer, patients will continue follow up in our office to monitor for recurrence, complications or side effects of treatment.
Conditions evaluated and treated include
- Abnormal uterine bleeding
- Benign conditions including fibroids, endometriosis
- Uterine mass
- Uterine or endometrial cancer
- Cervical cancer
- Ovarian cancer
- Fallopian tube cancer
- Other cancers
Office procedures include
- Chemotherapy
- Colposcopy
- Endometrial biopsy
- PAP
- Cervical biopsy
Operations performed include
- Minimally invasive surgery including robotic (da Vinci) surgery
- Open surgery
- Exploratory laparotomy
- Tumor debulking
- Hysterectomy
- Oophorectomy
- Myomectomy
- Lymph node dissection
- Bowel resection
Breast Services
Our breast surgeons evaluate and treat both benign and malignant conditions. Men as well as women may develop breast health issues that are best treated by a surgeon who specializes in breast surgery.
It is important to know that breast cancer is not one disease. Each patient’s cancer, and each patient’s situation, is different. Our surgeons provide individualized care to each patient. Our surgeons work closely with a team of radiologists, pathologists, plastic surgeons, oncologists, radiation oncologists and other specialist to provide the best care possible for each patient. Most cases are presented at a multidisciplinary conference, and patients benefit from input from multiple specialists even before they have had a formal consultation from the other specialists. After surgery for breast cancer, patients have ongoing follow up in our office, usually for at least 5 years.
Conditions evaluated and treated include:
- Breast mass
- Breast cyst
- Breast abscess
- Mastitis
- Nipple discharge
- Breast pain
- Breast atypia
- Breast papilloma
- Breast radial scar
- Lobular intraepithelial neoplasia (LIN, LCIS)
- Breast cancer
- DCIS
- Breast cancer risk
Office procedures and services include:
- Mammography –3 D (tomosynthesis)– screening and diagnostic
- Minimally invasive breast biopsy
- Lymph node biopsy
- Breast ultrasound
- Cyst aspiration
- Skin biopsy
- Fine needle aspiration
- Ultrasound guided breast biopsy
- Breast cancer risk analysis
- Genetic counseling
Operations performed include:
- Breast mass excision
- Breast biopsy
- Ductal excision
- Needle localized or wire localized breast excision
- Seed localized breast excision
- Lumpectomy or segmental mastectomy
- Mastectomy — total, skin sparing, nipple sparing
- Oncoplastic breast surgery
- Sentinel lymph node biopsy
- Lymph node removal
- Hidden scar breast surgery
- Portacath insertion and removal (vascular access)
MAMMOGRAPHY: please note that you do not have to have a physician appointment in order to have a screening mammogram. In accordance with national guidelines, we recommend screening mammography annually for all women beginning at age 40. 3D imaging (tomosynthesis) is recommended, as it improves breast cancer detetction. Patients with a higher risk of breast cancer should consult with our breast surgeons or nurse practitioner to determine whether screening should be started at a younger age, or whether additional screening studies are indicated. If you have a current breast concern, then a diagnostic mammogram should be ordered.
Genetics services
- Analysis of genetic risk for breast cancer, ovarian cancer and other cancers including colon, pancreatic, and prostate cancer
- Testing for genetic mutations that increase the risk of cancers
- Coordination of care for patients with genetic mutations that increase the risk of cancers
- Education regarding cancer risk