Internists

• Ovarian Cancer
  Although genetics plays a role in all cancers, one single genetic alteration is not enough for a cancer to form. Even women with BRCA-1 and BRCA-2 gene alterations are not guaranteed to develop cancer. They are clearly at a much greater risk for the development of breast and ovarian cancer but other factors still come into play. Women who test positive for the BRCA-1 and BRCA-2 genes have an 80 to 90% chance of developing cancer. But this gene alteration accounts for only 5 to 9% of all breast cancers diagnosed. Other internal and external factors are involved in the formation of a cancer.

Radiologist

• Ultrasound
  The most important thing to do is to get the answers to all of your questions. A mass in your breast or an abnormality on your mammogram will require further evaluation. An ultrasound is often required to further characterize a mass as solid, requiring biopsy, or cystic which may or may not require aspiration.
• MRI
  After a tiny nick is made in the skin, the device is positioned and checked. The area is further infiltrated with Lidocaine to numb the area. The samples are then taken and an x-ray confirms the presence of the calcifications in the specimens. At the completion of the procedure, a radiologic marker is placed to mark the area for future reference. The marker may be made of titanium or surgical steel. Don't worry; they will not set off the metal detectors in the airport and are MRI safe.
• X-Rays
• Mammography
  Not all cancers grow at the same rate. Some are very rapidly dividing tumors and others may take years to become evident on mammography or on clinical exam. There are many factors that play a role in the growth and development of breast cancer.
• Chemotherapy
  Understanding all of your options from the beginning of your diagnosis allows you to have all of the information you need to make an informed and rational decision about your care. Treatment options include surgery, chemotherapy, radiation and hormone therapy (anti-estrogen pills). Treatment varies with specific types of breast cancer.
• Radiation Therapy
  These are recommendations for prevention of the formation of cancer. If you are currently undergoing treatment with chemotherapy or radiation therapy. Please do not take these supplements unless cleared specifically with your treating physician as they may interfere with the effects of the chemotherapy and radiation therapy.

Surgeons

• General Surgery
  Dr. Pellicane received his undergraduate degree from The Johns Hopkins University and his medical degree from the University of Pittsburgh School of Medicine. He completed his General Surgery residency at Virginia Commonwealth University/ The Medical College of Virginia and is board certified by the American Board of Surgery. He is a fellow of the American College of Surgeons and is an active member of The American Society of Breast Surgeons. He founded Virginia Breast Center in 2005 with his partner, Dr. Polly Stephens, and they affiliated with Bon Secours in 2008 now with 4 surgeons serving all 4 Bon Secours hospitals in Richmond. Dr. Pellicane currently is the Director of Breast Oncology at the Bon Secours Cancer Institute in Richmond, VA.

Plastic Surgeons

• Breast Reconstruction
  Reconstruction: Breast reconstruction is an option after mastectomy. Options include implants or autologous tissue flaps in which the patient’s own tissue is used to create a new breast. Reconstruction is performed by a plastic surgeon.
• Breast Surgery
  Dr. Wilson is a board certified surgeon. She received her medical degree from the University of South Alabama College of Medicine in 2002, graduating with honors. She completed her general surgery residency at the University of South Florida. Dr. Wilson then completed a fellowship in Diseases of the Breast from the University of Arkansas for Medical Sciences and Winthrop P. Rockefeller Cancer Institute. She is an active member of the American Society of Breast Surgery and the Society of Surgical Oncology.
• Cosmetic Surgery

Dermatologists

• Cyst
• Lesions
  Many lesions, which are small or are found by needle localization, are often best served by the permanent section. The purpose is to obtain a correct final answer and avoid a quick, potentially inaccurate, answer.

Physical Therapists

• Physical Therapy