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Sentara Obici Hospital
Breast Health Center - Treatment OptionsThere are a wide variety of treatment options available for treating breast cancer. Treatments vary depending on the nature of each patient’s cancer and will be developed individually. Some of the most common treatment options include:
Chemotherapy
Chemotherapy is a systematic treatment using drugs that can destroy breast cancer cells. Given intravenously, by injection or taken orally, chemotherapy drugs may be used alone or combined with other treatments.
Obici Outpatient Infusion Center
(757) 934-4301
(757) 934-4078 Fax
Oncology/Hematology
Oncology is the specialty of internal medicine which deals with the diagnosis and treatment of cancer. Hematology is a specialty of internal medicine which deals with the diagnosis and treatment of diseases of the blood and blood forming tissue.
Medical Oncologists:
Dr Daniel M Atienza
(757) 539-0670
(757) 539-1062 Fax
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Dr Snehal Damle
(757) 484-0215
(757) 484-6792
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Dr John R Howard
(757) 539-0670
(757) 539-1062 Fax
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Dr Soundar Rajan
(757) 934-3504
(757) 548-0712 Fax
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Dr Lloyd Shabazz
(757) 934-2331
(757) 539-6082 Fax
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Dr Alex Su
(757) 539-0670
(757) 539-1062 Fax
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Dr Valiant D Tan
(757) 539-0670
(757) 539-1062 Fax
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Dr Rudolph Willis
(757) 934-2331
(757) 539-6082 Fax
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Radiation Oncology
Radiation therapy is used to treat cancer as well as offer relief from some of the symptoms of cancer. It may be used alone or in combination with surgery or chemotherapy. Our highly trained staff uses the most advanced radiation techniques to fight breast cancer. Our new department features a Varian 2100 Platinum Linear Accelerator with a 120 multileaf colliator, dynamic wedge, and portal vision capabilities. The Radiation Therapy center also features state of the art 3-D Virtual Simulation and Treatment Planning. Though our technology is superior it would not be as effective if not for the warmth and compassion of our staff. Our goal is to treat our patients the way we would want our family members treated and we do.
Cancer Center at Obici
Radiation Therapy Department
(757) 934-4482
(757) 934-4490 Fax
Radiation Oncologists:
Dr Judith Blevins
(757) 934-4482
(757) 934-4490 Fax
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Dr Denise Gooch
(757) 934-4482
(757) 934-4490 Fax
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Dr Adedamola Omogbehin
(Dr Mola)
(757) 934-4482
(757) 934-4490
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Dr Christopher Sinesi
(757) 934-4000
(757) 934-4490 Fax
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Dr Mark Sinesi
(757) 934-4000
(757) 934-4490 Fax
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Dr Mathew Sinesi
(757) 934-4000
(757) 934-4490 Fax
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Dr Scott Williams
(757) 934-4482
(757) 934-4490 Fax
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Surgery
For some types of cancer the most effective treatment is surgically removing the tumor. Your surgeon may recommend one of the following breast cancer surgical procedures:
Stereotactic Breast Biopsy: Stereotactic breast biopsy is an outpatient procedure that is often an alternative to surgical biopsy. Using mammography images allows the physician to accurately target the suspicious mass. Then a fine needle is inserted directly into the mass, allowing the physician to sample a small amount of your tissue for testing.
Sentinel Node Mapping: After a patient undergoes a primary cancer surgery such as a lumpectomy or mastectomy, a sentinel node mapping procedure may be recommended. With this procedure, the first lymph node that receives drainage from the affected breast can be removed and examined for cancer. Correctly identifying the draining nodes can significantly increase the accuracy of which nodes to surgically remove and evaluate for spread of cancer. It also helps prevent unnessesary removal of nodes that may not be in the lymphatic drainage field of the tumor. Reducing the number of nodes can reduce the chances of developing lymphadema.
Axillary Node Dissection: Another standard inpatient procedure conducted after a woman undergoes a primary cancer surgery such as a lumpectomy or mastectomy is an Axillary node dissection. The axillary lymph nodes consist of three bundles of lymph nodes—Level I nodes located beneath the armpit, Level II nodes located inside the armpit itself and Level III nodes located in the shoulder. Depending upon disease progression, the surgeon removes as few as four and as many as thirty total lymph nodes from the body to test for evidence of cancer.
Lumpectomy: With this breast conserving surgery, the surgeon spares as much healthy breast tissue as possible during surgery, A lumpectomy is an inpatient procedure involving the surgical removal of the tumor and some healthy tissue surrounding the tumor site. The surgeon also removes some axillary lymph nodes to test for evidence of cancer. If a patient is a candidate for a lumpectomy it can be an alternative to mastectomy. According to studies survival rates are equal. This decision should be carefully considered and discussed by you and your health care provider.
Simple Mastectomy: A simple mastectomy is an inpatient procedure consisting of the complete surgical removal of the affected breast and some axillary lymph nodes.
Modified Radical Mastectomy: A modified radical mastectomy is an inpatient procedure requiring the complete surgical removal of the affected breast, as well as the removal of a number of axillary lymph nodes and the lining of the chest wall muscles.
Radical Mastectomy: A radical mastectomy is an inpatient procedure involving the complete surgical removal of the affected breast, the chest wall muscles, the underarm lymph nodes and the fat and skin surrounding the chest muscles. Rarely used, radical mastectomy represents the most extensive mastectomy procedure, required only when cancer invades the chest wall muscle.
Surgeons:
Dr Elias Arbid
(757) 539-7824
(757) 538-9474 Fax
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Dr John Chacko
(757) 399-0886
(757) 399-1191 Fax
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Dr Joy Dalesandro
(757) 539-7824
(757) 538-9474 Fax
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Dr Howard H Harris
(757) 539-9005
(757) 934-8438 Fax
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Dr Paul Hogg
(757) 539-7824
(757) 538-9474 Fax
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Dr Matthew McBee
(757) 539-7824
(757) 538-9474 Fax
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Dr Chad McKenzie
(757) 539-7824
(757) 538-9474 Fax
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Dr Jeffrey Riblet
(757) 539-7824
(757) 538-9474 Fax
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Dr Vasken Tenekjian
(757) 539-7824
(757) 538-9474 Fax
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Dr David Zeiler
(757) 934-9372
(757) 934-9377 Fax
Web Site
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Breast Reconstruction Surgery: When a woman with breast cancer decides, with the input from her general surgeon, to have a partial or complete mastectomy she doesn’t have to face the specter of remaining deformed for life. Women now facing removal of the breast, and women who have had previous mastectomies, have a right, protected by Federal Law, to coverage by their insurance carrier for breast reconstruction, including procedures needed to enhance, reduce, or lift the opposite side for symmetry.
Plastic Surgeons:
Dr Craig Merrell
(757) 673-6000
(757) 673-6007 Fax
Web Site
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Dr Helena Guarda
(757) 673-6000
(757) 673-6007 Fax
Web Site
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Dr Behrooz Kalantarian
(757) 673-6000
(757) 673-6007 Fax
Web Site
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Obici Hospital, as part of its comprehensive Breast Health Center offers, state-of-the-art, microsurgical Deep Inferior Epigastric Perforator (DIEP) flap breast reconstruction. This technique available in only a handful of places within the entire United States creates a natural breast without sacrificing other body functions. Benefits of this choice of breast reconstruction include:
- A natural looking and feeling breast made out of a women’s own tissue.
- Preservation, and in most cases, enhancement of abdominal muscle function.
- Improved body proportions with tightening of the stomach at the same time the breast is rebuilt.
- Quick return to normal activities including sports
- No delay after reconstruction receiving chemo or radiation therapy if needed
- The ability to look normal wearing most clothing including swim suits, lingerie, and sports wear.
The DIEP flap is an option for most women–
1. who face mastectomy to treat cancer and desire immediate reconstruction,
2. who have had mastectomy in the past and now desire reconstruction,
3. who have had other types of reconstruction and want to explore options for a more natural result.
While most women qualify for, and choose, state-of-the-art microsurgical perforator flap reconstruction, the plastic surgeons on staff at Obici can also use Saline Implants, pedicle myocutaneous flaps, or other forms of reconstruction when needed. To learn more about the DIEP flap, connect to the physicians' web site above.
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