Physician Referral Breast Cancer

From screening mammograms to more in-depth diagnostics, providing a comprehensive imaging and screening center with pathology and biopsy capabilities.

• Breast MRI
• Breast ultrasound
• Digital breast tomosynthesis (mammogram)
• Physical exam 
• Second opinion services for abnormal screenings 
• Undiagnosed breast mass clinic 

Offering state-of-the-art germline and tumor genetic testing to study and consider the molecular and cellular features of a tumor. We then collaborate with a clinical genetics team to develop a customized treatment.

• Blood tests
• Genetic counseling
• Genetic testing (e.g. BRCA1, BRCA2)

Offering a wide portfolio of cancer-fighting drugs, from chemotherapy and targeted therapy to immunotherapy and endocrine therapy, to best fight breast cancer while minimizing side effects. Our infusion centers and centralized care bring together access and convenience. 

• Chemotherapy 
• Hormone therapy 
• Immunotherapy 
• Targeted therapy 
• Angiogenesis inhibitors
• Chemopreventive therapy
   

Combining experienced radiation oncologists with advanced technology to provide patients access to radiation therapy and interoperative radiation therapy to optimize outcomes.

• Intensity-Modulated Radiation Therapy (IMRT)
• Stereotactic Body Radiotherapy (SBRT)
• High-Dose-Rate (HDR) Brachytherapy
• Volumetric Modulated Arc Therapy (VMAT)
• Deep Inspiratory Breath Hold (DIBH)
• Respiratory gating
• TRUEBEAM® BY VARIAN
  • Respiration-synchronized MV/KV radiographs
  • 4D CBCT
  • Iterative CBCT
  • Triggered Imaging
• Coming soon will include: 
  • Four-Dimensional Computed (4D CT) Scanning 
  • ETHOS® By Varian
  • MRIdian® MR Linac By ViewRay

City of Hope has radiologists dedicated to breast imaging and interventional radiologists who specialize in providing compassionate, patient-centered care using the most advanced equipment available.

• Core needle biopsy 
• Stereotactic biopsy 
• Ultrasound-guided biopsy 
• MRI-guided biopsy
   

A specialized surgical team brings patients the latest techniques for treating breast cancer, including minimally invasive approaches, breast-conserving surgery and reconstructive surgery.

While surgery is often only one part of treatment, we lead the way in innovative and thoughtful surgical approaches to treating breast cancer and strive to take a minimally invasive approach to reduce discomfort, hasten recovery time and allow for patients to proceed with postsurgical treatments sooner.

Patients have access to a wide range of innovative surgical approaches, including but not limited to:

• Lumpectomy using latest guidance techniques
• Skin and nipple-sparing mastectomy 
• Oncoplastic surgery
• Direct-to-implant postmastectomy breast reconstruction surgery
• Complex, autologous (tissue-based) breast reconstruction surgery
• Prophylactic surgery 
• Axillary lymph node dissection 
• Lymphovenous bypass

Nationally recognized supportive care services and programs helping patients and their families ease the physical, emotional and psychological burdens of a life-changing diagnosis., including social work, support groups, integrative medicine, and physical medicine and rehabilitation.

• Hope Boutique (oncology-trained cosmetologists) 
• Integrative medicine 
• Lymphedema therapy 
• Nutrition counseling 
• Pain management
• Palliative care, hospice 
• Physical medicine and rehabilitation 
• Physical and occupational therapy
• Scalp cooling systems