Services

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
• Physician operates at Saint Agnes Medical Center, Fresno Surgical Hospital and Clovis Community Hospital
• Skin biopsies - cyst and seroma aspirations
• Advanced wound care options
• Lymphedema risk assessment with L-Dex

Cancer Services

• Diagnosis and treatment of breast cancer
• Second opinions
• Surgical Procedures
  • Lumpectomy (also known as Wide Excision or Partial Mastectomy)
  • Oncoplastic Procedure
  • Sentinel Lymph Node Biopsy
  • Full Axillary Node Dissection
  • Mastectomy
• Coordination of reconstructive procedures (immediate
  or delayed) with plastic surgeon
  • Skin Sparing Mastectomy with immediate reconstruction
  • Implant, (saline or silicone)
  • Autogenous tissue (TRAM or Latissimus)
  • Symmetry procedures of the opposite breast
• Brachytherapy implants (internal radiation)

Coordination of care with:

• Mammographers at dedicated breast centers
• Medical and Radiation Oncology
• Plastic and Reconstructive Surgery
• Genetic Counseling and Testing
• Pathology
• Physical Therapy and Certified Lymphedema Therapist
• Bra/Prosthesis Fittings
• Hair Loss/Wigs Referrals
• Support Groups
• Information for Families and Children
• Community Supports (Meditation, Yoga, Energy Work, Children's Support)