Special Surveillance Breast Program
Our mission is to identify women at an increased risk of breast cancer, and to provide them with an individualized surveillance and management plan. Our goal is to educate women at risk and provide them with the most up-to-date imaging techniques, genetic counseling, screening tests, and medical care in a caring, multidisciplinary environment.
Who We Are
A specialized team of physicians, breast radiologists, pathologists, a genetic counselor, and psychologist, that provides expert care for women at an increased risk of breast cancer. Our goals are risk reduction, early cancer detection, and patient education and support.
What We Do
The Special Surveillance Breast Program is designed to identify women at increased risk of breast cancer, and to help them formulate an individualized program for screening and risk reduction. A genetic counselor is available to discuss testing for the BRCA gene, as well as other genetic tests that may help us identify any genetic mutation in your family. Specific imaging studies, counseling, risk-reducing medication, and prophylactic surgery are all services offered by our physicians.
- Women with a known history of a first-degree relative with breast or ovarian cancer;
- Multiple family members with breast cancer;
- Women with a family history of male breast cancer;
- Women with a family history of premenopausal breast cancer;
- Women with a family history of ovarian cancer;
- Patients with a BRCA mutation;
- Women with a personal history of Hodgkin’s lymphoma with mantle radiation; and
- Patients with a history of lobular carcinoma in situ (LCIS), and atypical ductal or lobular hyperplasia.
Our Doctors and Staff
Dr. Sarah Cate is a fellowship-trained breast surgeon and a graduate of the Mount Sina Beth Israel, Mount Sinai St. Luke’s and Mount Sinai Roosevelt breast surgery fellowship. She is the lead physician for our Special Surveillance Breast Program at Mount Sinai Beth Israel, which is a member of the Mount Sinai Health System. Dr. Cate focuses on increased-risk patients, as well as breast cancer and benign breast disease. She is involved in several research projects and has presented her research at the national level, including vitamin D and breast cancer, triple negative breast cancer, DCIS Oncotype, and tumor markers in early stage breast cancer.
Dr. Michael Osborne is an attending surgeon with over 30 years’ experience in breast cancer surgery, including breast cancer programs at both Memorial Sloane Kettering Cancer Center and NewYork-Presbyterian/Weill Cornell Medical Center. He has published extensively on breast cancer risk and management, breast cancer diagnosis and treatment, and is the author of more than 250 articles.
Dr. Susan K. Boolbol is the Chief of the Appel-Venet Breast Service at Mount Sinai Beth Israel. She is a fellowship-trained breast surgeon who completed her training at NewYork-Presbyterian/Weill Cornell Medical Center and Memorial Sloan Kettering Cancer Center. She holds leadership positions at several national organizations and has published extensively about breast cancer. She is actively involved in several research projects, including the DUNE margin probe, vitamin D and breast cancer, Oncotype Dx, and DCIS Oncotype.
Dr. Tamara Fulop is the Chief of Breast Imaging at Mount Sinai Beth Israel. She is a board-certified radiologist, with specialty training in breast radiology from the University of California at San Francisco. She has extensive experience in breast MRI, including MRIguided biopsies.Services Offered
- Digital Mammography
Mammograms have long been used in the screening and detection of breast cancer. The digital mammography used at Beth Israel is superior at detecting cancers in women with dense breasts. All of our facilities that offer mammograms are only equipped with digital mammography machines.
- Breast Ultrasound
Ultrasound is a valuable tool for women with dense breasts, and is frequently used in women who feel a mass in their breasts. Both our radiologists and technicians have extensive experience with ultrasound.
- Breast MRI
An MRI does not use any radiation. It is performed with magnetic technology, and is used in women who are BRCA positive and have elected to have increased screening. It can also be used in women with strong family histories of breast cancer who have not yet been tested for the BRCA gene. A breast MRI is not indicated for everyone, nor does it replace mammography. Talk to your physician at your visit to see if a breast MRI is the right test for you.
Breast Specific Gamma Imaging uses nuclear medicine to image the breasts. A BSGI is performed with a special camera and the use of an injection, of which cancer cells absorb more of this injection than healthy cells. This test can be used as a complement to mammography and sonography.
- Fine Needle Aspirations/Core Needle Biopsies
Biopsies are done by our surgeons and our radiologists at Beth Israel. Sometimes, results from a fine needle aspiration will be available the same day it is performed.
- Genetic Counseling
A genetic counselor will evaluate your family history and provide the probability of a BRCA mutation, or evaluate you for other genetic syndromes linked with breast cancer. They will also work with your insurance company to provide them with information to help the testing get covered by your insurance. Our counselor has extensive experience working with women at increased risk of breast cancer.
- Psychological Support/Counseling
Our team of social workers and our psychologist, who have extensive experience working with patients with concerns about breast cancer, are available to discuss issues every day of the week. These appointments can be arranged at the same time as your doctor appointment.
To make an appointment, please call 212-367-0133.
Special Surveillance Breast Program
Mount Sinai Beth Israel
325 West 15th Street, Suite A
New York, NY 10011