Evaluation and Management

- Evaluation of breast masses
- Evaluation of abnormal mammograms or other imaging abnormality
- Risk analysis and management of patients at increased risk for breast cancer
- In office ultrasound
- Office needle biopsies (fine needle and core needle)
- Performance of breast biopsies for benign or malignant disease
- Evaluation and management of congenital breast abnormalities
- Evaluation and management of aesthetic breast concerns
- Physicians operate at Saint Agnes Medical Center and the Fresno Surgery Center

Cancer Services

- Diagnosis and treatment of breast cancer
- Second opinions
- Surgical Procedures /Oncoplastic Surgery
- Lumpectomy (also known as Wide Excision or Partial Mastectomy)
- Sentinel Lymph Node Biopsy
- Full Axillary Node Dissection
- Mastectomy
- Skin Sparing Mastectomy with immediate reconstruction
- Reconstructive procedures (immediate or delayed)
- Implant, (saline or silicone within a study)
- Autogenous tissue (TRAM or Latissimus)
- Symmetry procedures of the opposite breast
- Mammosite brachytherapy implants
- Corrective procedures for prior surgery defects

Coordination of care with:

Mammography	Breast Cancer Support Groups
Medical Oncology	Oncology
Radiation Oncology	Chemotherapy Hair Loss support
American Cancer Society	Classes for post surgery recovery and Lymphedema review prevention
Genetic Counseling/Testing
Pathology Review	Support services for children
Physical Therapy	Bra and Prosthesis fitting referrals
Lymphedema Therapy

Plastic Surgery of the Breast

Augmentation	Corrective surgery for congenital
Reduction	Abnormalities
Mastopexy (breast lift)	Gynecomastia surgery
Implant revision	Breast reconstruction