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Beth Israel Comprehensive Cancer Center
West Side Campus (BICCC-West)

The Breast Center at BICCC-West provides fully integrated breast services within a warm and supportive environment. The Breast Center provides a complete range of sophisticated screening, diagnostic, treatment, and supportive breast services in one convenient location and is committed to ensuring a positive experience for all who entrust us with their care.

A team of breast specialists, including surgeons, radiologists, pathologists, medical and radiation oncologists, nurses, and other staff, collaborate to meet your very personal needs. With an interdisciplinary team of breast experts in a single facility, we can detect suspicious symptoms, make a diagnosis, determine what further actions need to be taken, and provide immediate recommendations regarding our findings and possible treatment options. If surgery is required, the Cancer Center has a freestanding, dedicated Ambulatory Surgery Unit on premises so patients don't have to worry about checking in to a busy hospital.

You will have full access to the treatment and support services at Beth Israel Comprehensive Cancer Center - West Side Campus, which includes surgery, radiation oncology, medical oncology, social workers, nutritional counseling, and integrative medicine.

Breast Imaging
We're a "Center of Excellence" for Breast Imaging
When it comes to diagnosing breast cancer, quality medical imaging is essential for the most accurate results, and Beth Israel Comprehensive Cancer Center - West Side Campus is committed to maintaining the highest standards of quality and professionalism. That's why we are particularly proud to have earned the distinction as a Breast Imaging Center of Excellence from the Commission on Quality and Safety and the Commission on Breast Imaging of the American College of Radiology (ACR). Our imaging center was accredited by the ACR in five key areas - Mammography, Stereotactic breast biopsy, Breast ultrasound, Ultrasound-guided breast biopsy and Ultrasound-guided fine needle aspiration cytology.

BICCC-West offers breast imaging services on site including digital mammograms, ultrasound, ductogram, and bone density.

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Breast Diagnostic Procedures
If you or your doctor notices a lump or a change in your breast, your doctor may recommend that you see a breast surgeon for further evaluation. The surgeon will examine you to determine if the breast mass is palpable (located near the surface of the breast and can be felt) or not palpable (located deeper in the breast tissue and can not be felt). The surgeon will then recommend that you undergo a biopsy.

At BICCC-West, biopsies are performed on an outpatient basis and do not require a hospital stay. Our doctors use several biopsy methods; the choice often depends on the size and location of the lump or area in question and your general health. Image-guided Biopsy Procedures

Fine Needle Aspiration Biopsy
A fine needle aspiration biopsy uses a needle and syringe to drain a lump or collect cells from a lump. This can determine whether a lump is solid or fluid filled. If the lump is a cyst, the doctor will drain the fluid. If the lump is solid, the doctor will have the in-house pathologist come to the exam room to review the sample under a microscope.

Ultrasound Core Needle Biopsy
An ultrasound core needle biopsy is used to remove a core of tissue from a solid lump. Using sound waves, your doctor will guide a needle into the suspicious breast area to obtain a sample for microscopic examination. The procedure uses a local anesthetic, leaves no scar and is considered highly accurate.

Stereotactic Needle Biopsy
Stereotactic needle biopsy uses a computerized x-ray technique to pinpoint a breast mass or calcification. Using radiologic guidance, a needle is inserted into the mass and a tissue sample is taken for laboratory examination. The procedure uses a local anesthetic, leaves no scar and is considered highly accurate.

Wire Localization
Wire localization is used when mammography reveals a suspicious lesion, but you or your physician cannot feel any masses. Thin wire needles are placed, under radiologic guidance, as close to the mass as possible. Using the wire as a guide, the surgeon can then remove suspicious tissue.

Surgical Biopsy Procedures Sentinel Node Biopsy
In a sentinel node biopsy, a radioactive substance is injected into the area around the tumor. Lymphatic vessels carry these materials to the sentinel lymph node (the first lymph node to which the cancer is likely to spread). The doctor can see the blue dye or detect the radioactivity in the sentinel node, which is removed and examined. If the sentinel node contains cancer, more axillary lymph nodes (lymph nodes in the armpit) are removed.

Axillary Lymph Node Dissection
If a sentinel node biopsy shows the sentinel node (the first lymph node to which the cancer is likely to spread) is cancerous, axillary lymph nodes (lymph nodes in the armpit) will need to be removed. This surgical procedure allows doctors to determine if breast cancer has spread to those nodes and to remove any cancerous lymph nodes.

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Treatment Options
Once cancer is diagnosed, your surgeon will review different treatment options with you, helping you to make an informed decision. An individualized plan will be developed based on your medical needs, general health, personal preferences, and other factors. Your plan may include any of the following:

Once cancer is diagnosed, your surgeon will review different treatment options with you, helping you to make an informed decision. An individualized plan will be developed based on your medical needs, general health, personal preferences, and other factors. Your plan may include any of the following:

Surgery
Lumpectomy
A lumpectomy is surgery to remove the breast tumor and a small amount of surrounding normal tissue.

Mastectomy
A mastectomy is the surgical removal of the entire breast. There are three different types of mastectomies:

  • Simple or total mastectomy - surgeons do not cut away any lymph nodes or muscle tissue
  • Modified radical mastectomy - surgeons remove the breast and some armpit lymph nodes
  • Radical mastectomy - surgeons remove the breast, axillary lymph nodes and chest wall muscles under the breast

Breast Reconstruction
Breast reconstruction is surgery to rebuild the breast after a mastectomy. A breast implant or your own tissue may be used to reconstruct the breast. Reconstruction can be done at the same time as the mastectomy or any time later.

Sentinel Lymph Node Biopsy
In a sentinel node biopsy, a radioactive substance is injected into the area around the tumor. Lymphatic vessels carry these materials to the sentinel lymph node (the first lymph node to which the cancer is likely to spread). The doctor can see the blue dye or detect the radioactivity in the sentinel node, which is removed and examined. If the sentinel node contains cancer, more axillary lymph nodes (lymph nodes in the armpit) are removed.

Axillary Lymph Node Dissection
If a sentinel node biopsy shows that the sentinel node (the first lymph node to which the cancer is likely to spread) is cancerous, axillary lymph nodes (lymph nodes in the armpit) will need to be removed. This is a surgical procedure that can determine if breast cancer has spread to those nodes and to remove any cancerous lymph nodes.

Non-Surgical Treatments
Medical Oncology
Your surgeon may suggest that you see a medical oncologist who can prescribe an appropriate chemotherapy or hormone therapy regimen. To learn more about the medical oncology services at Beth Isreal Comprehensive Cancer Center - West Side Campus, visit Medical Oncology

Radiation Oncology
Your surgeon may refer you to a radiation oncologist who can prescribe an appropriate radiation therapy regimen. To learn more about the radiation oncology services at Beth Israel Comprehensive Cancer Center - West Side Campus, visit Radiation Oncology

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Genetic Counseling, Testing and Education
Beth Israel Comprehensive Breast Center offers genetic counseling and education regarding cancer risk to you and your family members. This information may be helpful as you make decisions regarding your medical care.

Genetic counseling involves a discussion of your personal and/or family history of cancer. The goal of cancer genetic counseling is to provide clear and clinically relevant information about genetic risk factors in an atmosphere of support and education.

Who may benefit from the genetic counseling?

  • A cancer diagnosis at an early age, specifically breast, colon, or ovarian cancer diagnosed under age 50
  • Several relatives with cancer
  • A close relative who developed cancer at an early age
  • A relative who has had more than one cancer
  • A relative who has had a rare or unusual cancer

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