Expert treatment from our team of dedicated breast cancer specialists.

Our team specializes in breast-conserving and nipple- and skin-sparing procedures. Utilizing surgical guidance systems, such as SAVI-Scout, we can more accurately pinpoint lesions, reducing surgery time and easing the process for you as a patient.

Chemotherapy drugs are given to stop the growth of cancer cells in your breast, as well as kill any cancer cells that could have spread beyond the breast. We also offer chemoprevention for high-risk patients.

Radiation therapy is painless and uses high-energy particles or rays (like a more intense X-ray) to kill cancerous cells. It is delivered by our radiation oncologists—specialists who form a key part of our team and have spent years in the field of breast health. Procedures available include heart-sparing techniques and intraoperative radiation therapy (IORT), a single-dose form of radiation that can be performed at the same time as a lumpectomy in early-stage patients. We are also proud to include the Halcyon guidance system among of our latest innovative tools. This technology allows us to deliver radiation more efficiently and with greater comfort.

Also called immunotherapy or biological therapy, targeted therapy is among the latest advances against breast cancer. We start by identifying a breast cancer’s particular characteristics, then use drugs or other substances to trigger the body’s own immune response to interfere with the way cancer cells operate.

About two out of every three breast cancers are fueled by the natural hormones in our bodies. We offer the latest options in hormone therapy, including estrogen blockers, to lower hormone levels or stop them from acting on breast cancer cells.

If you need to undergo a mastectomy, you may elect to have breast reconstruction surgery. At MedStar Health, we offer the latest techniques, including some pioneered by our own surgeons. Our expert physicians can help you choose the right procedure for you.

Our cardio-oncology program was the first of its kind in the greater Baltimore-Washington, D.C., metropolitan area. Some cancer treatments, including radiation therapy and chemotherapy, can worsen or even cause heart problems. Our specialized cardiologists work side-by-side with oncologists to develop a personalized treatment plan to prevent and minimize heart risks without interfering with cancer treatment.

Whether or not to seek a second opinion for breast cancer – or any medical diagnosis – is a personal decision. Many patients do choose to schedule a consultation with a second doctor for these reasons: 

• A second opinion is a way to confirm the nature of your disease and that that diagnosis you were initially given is correct.
• Seeking a second opinion gives you an opportunity to explore various treatment options. The reality is that different doctors may approach treatment from various angles. Some may have the ability to offer clinical trials or other forms of researched-based medicine. Others may be able to offer a wide range of support services, to guide you through your treatment process in ways that go beyond physical care. It is important to understand what these options are so that you can make an informed and educated decision about which plan of care feels right, and will give you the best chance for survivorship.
• The personal connection matters. It is important for breast cancer patients to choose a doctor that makes them comfortable and who is committed to the delivery of personalized care.

It is important to schedule an appointment with a breast cancer specialist if any key warning signs of cancer are detected through the process of self-breast exam. These may include a painless lump, unexplained pain, redness, or hardening in the breast, swelling of the lymph nodes, changes in the nipple, or discharge from the nipple. Additionally, it is important that women over the age of 40 schedule a yearly screening mammogram, to assure the earliest possible detection of breast cancer. In the event that a woman’s mammogram shows an area of concern, in many cases the next step is to consult with a breast cancer specialist, who may order some additional testing and/or a biopsy, if deemed necessary. Lastly, many women choose to consult with a breast cancer specialist proactively if there is a history of breast cancer in their family. Genetics play a key role in determining a woman’s risk for breast cancer, so identifying a doctor who can stay on top of your health and assure you are getting the appropriate screenings, based on your age and family history, is important.

There are five stages of breast cancer.

Stage 0 is the most common form of non-invasive breast cancer, and is also called ductal carcinoma in situ (DCIS). At this stage, there is no evidence that cancerous cells are impacting normal, surrounding tissue.

Stage I is a very early form of invasive breast cancer, typically contained to a small area. Stage IA indicates the presence of a tumor that is 20 millimeters or less in size, with no evidence of impact to the lymph nodes. Stage IB also indicates a tumor that is 20 millimeters or less in size, with a small cluster of cancerous cells in the lymph nodes.

Stage II breast cancer is still contained in a small region of the breast, but indicates a larger tumor – normally ranging between 20 and 50 millimeters in size. Stage IIA is diagnosed when cancer has not spread to the lymph nodes and Stage IIB is diagnosed with cancerous cells are detected in the nearby lymph nodes.

Stage III indicates that cancer has spread further into the breast, or that a tumor larger in size has been detected. There are three categories that can be diagnosed within Stage III breast cancer, determined by whether or not cancerous cells have been found in the lymph nodes near the breast, in the underarm area, and/or surrounding the collarbone, or has spread to or broken through the skin.

Stage IV is the most advanced form of breast cancer, indicating that cancer has been detected in the lymph nodes as well as other organs of the body – commonly the liver, lungs, bones, or brain.

• Healthy Diet and Exercise: Maintaining a healthy weight, eating a balanced diet, and regular exercise can help lower risk.
• Limit Alcohol: Reducing alcohol consumption can decrease risk.
• Avoid Smoking: Smoking has been linked to an increased risk of breast cancer, particularly in younger, premenopausal women.

Yes, dense breast tissue can make it harder to detect cancers on a mammogram and may also be associated with an increased risk of breast cancer.

• Genetic Testing: If you have a strong family history, genetic testing for BRCA mutations might be recommended.
• Risk Assessment Tools: Tools like the Gail Model and Tyrer-Cuzick Model can help estimate your risk based on personal and family history

Certain types of HRT, especially combined estrogen-progestin therapy, can increase the risk of breast cancer. It's important to discuss the risks and benefits with your doctor.

Yes, women with mutations in the BRCA1 or BRCA2 genes are at increased risk for both breast and ovarian cancers.

These are genes that, when functioning normally, help repair DNA and prevent cancer. However, mutations in these genes, as well as other breast and ovarian cancer genes, can lead to an increased risk of breast and ovarian cancers.

• Medications: Drugs like tamoxifen or raloxifene can reduce risk in some high-risk women.
• Prophylactic Surgery: Some women opt for preventive mastectomy or oophorectomy (removal of ovaries) to significantly reduce their risk.
• Surveillance: Close monitoring through more frequent screenings and exams.

• Mammograms: Annual mammograms are often recommended starting earlier than the general population (e.g., starting at age 30-35).
• MRI: Breast MRI is recommended in addition to mammograms for women at high risk.
• Clinical Breast Exams: Regular exams by a healthcare provider are also crucial.

• Family History: A strong family history of breast cancer, especially in a first-degree relative (mother, sister, daughter), significantly increases your risk.
• Genetic Mutations: Inherited mutations in genes such as BRCA1 and BRCA2 can greatly elevate the risk.
• Age: The risk of breast cancer increases as you age.
• Personal History: A personal history of breast cancer or certain non-cancerous breast conditions can increase your risk.
• Hormone Replacement Therapy: Long-term use of hormone replacement therapy, especially after menopause, can elevate the risk.

What is a breast lump?

• A breast lump is a localized swelling or mass that can be felt in the breast tissue. It may vary in size, shape, and texture.

Are all breast lumps cancerous?

• No, not all breast lumps are cancerous. Many breast lumps are benign (non-cancerous) and can be caused by various factors such as hormonal changes, cysts, fibroadenomas, or infections.

When should I be concerned about a breast lump?

• It's important to consult a breast surgeon if you notice a new lump, any changes in an existing lump, or if you experience associated symptoms such as pain, nipple discharge, or changes in breast appearance.

How are breast lumps diagnosed?

• Diagnosis typically involves a combination of physical examination, imaging studies (mammogram, ultrasound, MRI), and, if necessary, a biopsy to determine if the lump is benign or cancerous.

What is a breast biopsy?

• A biopsy involves removing a small sample of tissue from the breast lump for examination under a microscope. This helps determine whether the lump is cancerous or benign.

Can hormonal changes cause breast lumps?

• Yes, hormonal changes, especially during the menstrual cycle, pregnancy, and menopause, can lead to the development of breast lumps.

How are benign breast lumps treated?

• Treatment depends on the specific type of lump. Some may require no intervention, while others may be drained, excised, or monitored over time.

What is the likelihood of a breast lump being cancerous?

• The majority of breast lumps are non-cancerous. However, it's crucial to seek medical evaluation quickly for an accurate diagnosis.

Can men get breast lumps?

• Yes, though less common, men can develop breast lumps. Any unusual changes in the breast tissue should be evaluated by a healthcare professional.

Remember, early detection and timely medical intervention are crucial for the best possible outcomes. If you discover a lump on your breast scheduled an appointment with one of our breast surgeons.

Genetic counseling can help you understand your risk and decide whether genetic testing is appropriate. It also provides support in interpreting test results and making informed decisions about your health.

Speak to your healthcare provider about your risk. They may refer you to our High-Risk Clinic.

Consultation in our High-Risk Clinic to discuss your options, which may include increased surveillance, lifestyle changes, medications, or preventive surgery.