The Record Special Sections Health Quarterly 10-27-2019 | Page 10

10 ❚ SUNDAY, OCTOBER 27, 2019 ❚ THE RECORD HEALTH QUARTERLY / ADVERTISING SECTION Facing Breast Cancer Together A Team of Specialists Surrounds and Supports Breast Cancer Patients W hen someone gets a diagnosis of breast cancer, the future appears uncertain. Questions abound: What’s my first step? Who will provide my care? Will I be OK? Breast cancer spe cialists at The Cancer Center at Saint Barnabas Medical Center (SBMC) and the Barnabas Health Ambulatory Care Center (ACC) are dedicated to making sure no one faces those questions alone. The extensive group of experts works as one unit to pro- vide innovative and individualized care at diagnosis, during treatment and afterward. “Newly diagnosed patients are often frightened and don’t know where to turn,” says Michele Blackwood, MD, medical director and Northern Regional director of Breast Services for RWJBarnabas Health, chief, Section of Breast Surgery at Rutgers Cancer Institute of New Jersey and a mem- ber of Barnabas Health Medical Group. “Once we’ve assembled their team and a plan of action is in place, everyone calms down. Families feel optimistic knowing their loved one is in good hands.” PERSONALIZED APPROACH As soon as a patient is diagnosed at The Breast Center at the ACC, physicians pro- actively reach out to experts at The Cancer Center. A multidisciplinary lineup of spe- cialists is then assembled. “Not all breast cancer is the same,” explains Anya Litvak, MD, a breast medical oncologist with The Cancer Center. “It’s a complex disease that requires a large group of specialized doctors throughout the pro- cess—from abnormal mammography to diagnosis to treatment, whether that means surgery, chemothera- py, endocrine therapy, radiation therapy or a clinical trial.” Dr. Michele Each week, phy- Blackwood sicians gather at meetings to discuss patients. “We talk about upcoming operations and dif- ficult diagnoses,” says Dr. Blackwood. “All of these wonderful doctors focus their intellect toward one patient. We put our heads together and come up with the best Dr. Alison treatment plan.” Grann Every aspect of that plan is customized. “We individualize each patient’s treatment,” says Alison Grann, MD, chair of the Department of Radiation Oncology. “For a patient facing breast cancer, we have a variety of options for radiation treatment, depending on his or her needs.” At every step of the journey, patient navigators guide and support patients, coordinating appoint- ments and making sure patients know where to go and in what order they should see various specialists. Appointments are scheduled promptly, with multiple visits arranged for the Dr. Anya same day. “We do Litvak our best to make patient care seam- less and hassle-free,” says Dr. Blackwood. As soon as patients and families arrive for appoint- ments at the ACC, they’re welcomed by extended team members. Valets offer complimentary parking and a con- Dr. Michael cierge helps them Scoppetuolo, Jr. navigate the build- ing. Experienced staff and administrators get to know the patients over time as treat- ment progresses. ADVANCES IN TREATMENT The Cancer Center’s comprehensive array of cancer-fighting tools includes the newest technologies and treatments. Surgery patients benefit from recent advances in surgical and reconstructive procedures, with new approaches including: n Mastopexy breast lift during lumpectomy n Nipple-sparing mastectomy n DIEP flap reconstruction surgery, in which a new breast is formed from trans- planted abdominal tissue n Pre-pectoral reconstruction, in which implants are placed directly over the mus- cle, resulting in less post-mastectomy pain and a more natural appearance At The Infusion Center at SBMC, the lat- est FDA-approved chemotherapy protocols are administered. In addition, Dr. Litvak says, medical oncologists screen patients to see if a clinical trial (an FDA-approved research study in which patients are given cutting-edge treatments) might be an appropriate option for them. “Our very strong multidisciplinary team, along with our partnership with Rutgers Cancer Institute of New Jersey, means we have the clinical expertise, technology, access to clinical trials and breadth of expe- rience to deliver world-class care for breast cancer and other cancers,” says Michael Scoppetuolo, Jr., MD, medical director of The Cancer Center. “With very specialized, targeted therapies, we can meet all patient treatment needs, and do it close to where they live.” To learn more about cancer care at Saint Barnabas Medical Center, visit the website at rwjbh.org/sbmc or call 1-844-CancerNJ. New Breast Cancer Screening Tools, Technologies O ne size does not fit all when it comes to breast screening,” says Linda Sanders, MD, medical direc- tor of The Breast Center at the Barnabas Health Ambulatory Care Center. “At The Breast Center, we tailor the tests to what each patient needs and what’s best for the individ- ual.” That kind of personalized care is made possible by The Breast Center’s comprehensive array of state-of the-art breast screening equipment, including digital mam- mography, MRI, breast ultrasound and more. ENHANCED TECHNOLOGY This year, all digital mammography machines at The Breast Center were upgraded to include tomosynthesis, sometimes called 3D breast imaging. “Tomosynthesis renders small, subtle cancers easier to see in dense breast tissue,” explains Dr. Sanders. The Breast Center also recently acquired a stereotactic breast biopsy machine with tomosynthesis. This machine gives technicians the ability to locate a breast abnormality and remove a tissue sample — a much less invasive proce- dure than a surgical biopsy. “Radiology is all technology,” says Dr. Sanders. “As tools get bet- ter and better, the things we can do expand. We can spare people from more invasive procedures by find- ing lesions early and do biopsies on subtle lesions without having to send patients to surgery.” COMFORT COUNTS The Breast Center is the largest single site in the state to offer curve d-paddle mammography, which is Dr. Linda designed to better fit the shape of Sanders a woman’s breast and decrease discomfort during screening. “The other wonderful thing about our Center is that we have dedicated mammogra- phers and breast interventionalists right on site,” says Dr. Sanders. “We’re not reading results remotely. We’re actually here to examine and speak to a patient, as need- ed.” To schedule a mammogram at The Breast Center go to www.rwjbh.org/mammo. PHOTO COURTESY OF RWJ BARNABAS HEALTH All digital mammography machines at The Breast Center include tomosynthesis, sometimes called 3D breast imaging.