SURGICAL SPECIALIZATION:

Our surgeons specialize an extensive array of surgical options, which include:

  • Excisional biopsy with or without needle-localization1
  • Lumpectomy with or without needle-localization
  • Simple mastectomy
  • Skin-sparing mastectomy
  • Nipple-sparing mastectomy
  • Sentinel lymph node biopsy
  • Axillary lymph node dissection
  • Oncoplastic surgery
  • Placement of accelerated partial breast radiation catheters

Our surgeons also work closely with highly-trained Plastic Surgeons for breast r2econstruction evaluation (mammoplasty, breast reduction, implant reconstruction, autologous tissue reconstruction, which includes DIEP flap reconstruction) and incorporate it into your surgical options.

 

Benign Breast Conditions

Benign breast conditions are noncancerous disorders that can affect the breast in either men or women.

  • 3Fibroadenomas
  • Fibrocystic Breasts
  • Intraductal papillomas
  • Sclerosing Adenosis
  • Radial Scars
  • Breast Pain
  • Gynecomastia
  • Accessory Breast Tissue
  • Accessory Nipple
  • Inverted Nipples
  • Breast Atypia (Flat epithelial breast, atypical hyperplasia)
  • Mastitis (breast infections)

High Risk for Breast Cancer 4

Dr. Andrea Metkus and Dr. Jane Woo have developed the Breast Cancer High Risk Program at the Dorothy Schneider Cancer Center to provide surveillance and education to women at an increased risk of developing breast cancer. The program addresses the concerns of women who:

  • Have been diagnosed with:
    •  Atypical ductal hyperplasia (ADH)
    • Atypical lobular hyperplasia (ALH)
    • Lobular Carcinoma in Situ (LCIS)
  • Have a personal history of chest irradiation between the ages of 10 and 30 years old
    • Have a known BRCA1 or BRCA2 mutation
    • Have a Family History of:
      • BRCA mutation
      • Male breast cancer
      • Ovarian cancer
      • Two or more relatives diagnosed with breast cancer, one ≤ 50 years old
      • Breast cancer ≤ 45 years old
      • Triple negative breast cancer ≤ 60 years old
      • Breast cancer or ovarian cancer and is of Ashkenazi Jewish ancestry
    • Have a family history of ovarian cancer

The Breast Cancer High Risk Program provides women with an in-depth evaluation tailored to each woman’s individual risk factors. During the initial appointment a women will meet with:

  • Breast Surgical Oncology specialist, Dr. Andrea Metkus or Dr. Jane Woo
  • They will review the patient’s personal and family history, as well as perform a clinical breast exam. The surgeon will provide options to manage increased risk such as intensive surveillance, chemoprevention, and prophylactic surgery. Any recommended diagnostic exams will be ordered at the visit.
  • Breast Health Clinical Nurse Specialist to discuss livestyle modifications that reduce breast cancer risk. They nurse will make referrals to community agencies that help support the patient in making these lifestyle changes
  • A member of the Dorothy Schneider Cancer Center Clinical Research Staff if there are appropriate risk reduction research trials.
  • A referral to Genetic Counselor at the Dorothy Schneider Cancer Center for those women with personal/family histories suggestive of a hereditary cancer syndrome.

At the end of the visit, each woman will leave with recommendations for continued surveillance, risk reduction interventions and a healthier lifestyle as well as referrals to support her in reducing risk.

Follow up appointments will be tailored to each woman’s individual risk profile.

Breast Cancer Patients

Dr Andrea Metkus and Dr Jane Woo are integrated into the Mills-Peninsula Womens Breast Health Services (http://www.mills-peninsula.org/cancer/breasthealth.html), which is a part of the Dorothy E. Schneider Cancer Center (http://www.mills-peninsula.org/cancer/) and have been involved in developing a dedicated comprehensive Breast Cancer Center that uses a multi-disciplinary approach to allow patients to receive thorough and personalized care for their newly diagnosed breast cancer.

5The Multi-Disciplinary Breast Tumor Board, chaired by Dr. Andrea Metkus, is a dedicated team of breast cancer specialists, who meet on a weekly basis. Women (or men) with a known diagnosis of breast cancer can be seen in our Multi-Specialty Breast Care Center and are seen by several breast cancer specialists who will be involved in their care, such our Breast Surgeons, Medical Oncologists, Radiation Oncologists, and Breast Cancer Clinical Nurse Specialist to guide you through the process.

Patients seen in this program will have a personalized treatment plan recommended which not only represents the consensus of the entire multi-specialty team after careful review but also integrates the patients’ overall needs and goals. Radiographic images are fully evaluated by our Radiologists, and biopsies are reviewed by our Pathologists, assuring our team is in agreement with the diagnosis.

Along with our Breast Surgeons, Dr. Andrea Metkus and Dr. Jane Woo, the Breast Cancer Multi-Specialty Team also includes:

      • Medical Oncologists who treat cancers with systemic medications
      • Radiation Oncologists who specialize in radiation treatments
      • Radiologists who are highly experienced in imaging diagnostic breast testing and biopsy techniques
      • Pathologists who examine tissue specimens to determine a diagnosis of cancer or other diseases
      • Genetic Counselor for those patients with a strong family history of cancer or a possible genetic or hereditary link
      • A Nurse Practitioner who work closely with all the physicians in coordinating your treatment plan, and provide additional medical care, education and support
      • Plastic Surgeons to discuss options of breast reconstruction if needed
      • Referral to Nutritional Services and informative classes to support your health and wellness goals during the surgical time frame along with long term goals
      • Referral to Community Support structures
      • Referral to/discussion of possible Clinical trials if patient qualifies

For more information, please contact:

50 S. San Mateo Drive, Ste. 360
San Mateo, California 94401
Phone: (650) 652-8788