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At the Appel-Venet Comprehensive Breast Service, we evaluate and treat patients for the following conditions:

Breast Cancer

Our Breast Service offers a complete evaluation for the diagnosis and treatment of breast cancer, including physical exams, clinical histories, breast imaging studies, biopsies, and reviews of pathology studies. Each case can be reviewed at our weekly breast conference attended by a multidisciplinary team of surgeons, radiation oncologists, medical oncologists, mammographers, plastic surgeons, psychologists, pathologists, and others involved in the treatment of breast cancer, including support staff from the breast tumor registry. After an accurate diagnosis is made, a multidisciplinary treatment plan—which may include surgery, radiation therapy, and/or chemotherapy—is recommended.

Breast Mass, Lump, or Thickening

Approximately 90 percent of breast lumps are benign, but a clinical evaluation—which may include mammograms, sonograms, MRIs, or biopsies—of an abnormal physical finding is essential.

Nipple Discharge

Discharge from a nipple is often associated with an intraductal papilloma or ductal ectasia, which are generally benign findings. However, in approximately 10 percent of cases, nipple discharge can be a sign of breast cancer. For that reason, a detailed clinical evaluation—including a smear of the discharge and breast imaging studies—may be performed. Mammary ductoscopy may also be recommended.

Nipple Lesion

Changes in the nipple or areola, irritation or rashes can be a sign of Paget's Disease, an early form of breast cancer. A clinical evaluation is performed, and a biopsy may be recommended.

Breast Pain

Breast pain is often associated with benign fibrocystic breast changes and is usually not a sign of serious breast disease. We do an evaluation to rule out malignancies, and then give recommendations for controlling symptoms.

High Risk for Breast Cancer

Frequent surveillance and very early detection saves the lives of patients who are at high risk for breast cancer. The Comprehensive Breast Service offers many services for women who are at higher risk for breast cancer.


Usually benign, gynecomastia is a condition where breast enlargement occurs in men. Testing is performed to rule out malignancy, and then medical and surgical treatment options are discussed.

Axillary Lymphadenopathy (Swollen Lymph Gland in Armpit)

This condition is often a sign of infection and can be a sign of a malignancy. Imaging studies and biopsies may be recommended.

Breast Infection

A breast infection most often occurs in women who are breast-feeding. However, women with breast infections who are not breast-feeding should be evaluated to rule out a rare form of breast cancer.

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