Jacqueline M. Wilentz Comprehensive Breast Center
Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center300 Second Avenue (Entrance on Third Avenue), Long Branch, NJ 07740Jacqueline M. WilentzComprehensive Breast Center732.923.7700Monmouth Medical CenterSatellite Breast Center LocationsMonmouth Medical CenterOutpatient Lab and Imaging LocationsColts NeckJacqueline M. Wilentz BreastCenter at Colts NeckScreening Mammographyand Bone Density Testing310 Route 34 South, Second FloorColts Neck, NJ 07722732.923.7700Long BranchMonmouth Medical Center OutpatientLaboratory Services300 Second Avenue (inside the hospital)Long Branch, NJ 07740732.923.7380HowellJacqueline M. Wilentz BreastCenter at HowellScreening Mammography, Bone Density,X-ray and Genetic Counseling Services4013 Route 9 North, Suite 2SAldrich Plaza Shopping CenterHowell, NJ 07731732.923.7700LakewoodMonmouth Medical Center,Southern CampusScreening and Diagnostic Mammographyand Ultrasound600 River AvenueLakewood, NJ 08701732.923.7700Monmouth Medical Center OutpatientDiagnostic Imaging ServicesCT Scan, MRI, Ultrasound, X-Ray300 Second Avenue (inside the hospital)Long Branch, NJ 07740732.923.6800Ocean TownshipMonmouth Medical Center Laboratoryand Diagnostic X-Ray Services1910 Hwy 35 SouthOakhurst, NJ 07755732.775.1024ShrewsburyShrewsbury Diagnostic Imaging*1131 Broad StreetShrewsbury, NJ om6275-1/17*Appointments are not required for ourservices at the Colts Neck and Howelllocations, and are not required forscreening mammography at our mainlocation at Monmouth Medical Centeror at Monmouth Medical Center,Southern Campus
ComprehensiveBreast HealthServicesThe Jacqueline M. WilentzComprehensive Breast Centerat Monmouth Medical Centerwas introduced in 1994 tobring together under one roofall preventive, diagnostic,treatment, rehabilitation,psychosocial and educationalservices for women concernedabout their breast health.Our goal is to provide ourpatients with clinicallyexcellent and compassionatecare in a supportive andcomfortable setting. What We Have Achieved The Leon Hess Cancer Center at Monmouth Medical Center holds the JointCommission’s Gold Seal of Approval for its comprehensive breast cancertreatment program. This prestigious certification recognizes the Leon Hess CancerCenter for meeting all national standards for quality and safety for breast-cancerspecific care. To earn the Gold Seal of approval, the Leon Hess Cancer Center,in conjunction with the Jacqueline M. Wilentz Comprehensive Breast Center,underwent a rigorous on-site survey that reviewed credentials of staff andphysicians, processes of care and performance improvement initiatives.The Jacqueline M. Wilentz Comprehensive Breast Center is a certified qualitybreast center of excellence — the highest certification level offered by theNational Quality Measures for Breast Centers (NQMBC). The Wilentz Center isone of just two New Jersey facilities and is among a handful in the nation toachieve this top national certification. In 2010, the Wilentz Center became the firstfacility in New Jersey and the 10th in the nation to be accredited as a CertifiedQuality Breast Center by NQMBC.Joining only a handful of breast imaging centers across the nation, the WilentzCenter was designated a Breast Imaging Center of Excellence by the AmericanCollege of Radiology’s (ACR) Commission on Quality and Safety and theCommission on Breast Imaging. Additionally, the Wilentz Center is the first facilityin New Jersey and just the 20th in the nation to earn ACR’s Gold Seal Accreditationfor breast MRI and also holds ACR accreditation for mammography, breastultrasound and stereotactic breast biopsy.The Wilentz Center also is the first center in Monmouth and Ocean counties tobe granted a three-year full accreditation designation by The NationalAccreditation Program for Breast Centers (NAPBC) for "providing the highestquality evaluation and management of patients with breast disease."Since its debut, the Jacqueline M. Wilentz Comprehensive Breast Center haspassed the Food and Drug Administration (FDA) inspection for being in totalcompliance with stringent requirements under the federal Mammography QualityStandards Act (MQSA) with “no” deficiencies — a success achieved by less than20 percent of the facilities in the country inspected by the FDA.The Wilentz Center is a recipient of the Women’s Choice Award as one ofAmerica’s Best Breast Centers, acknowledging its dedication to providingexceptional patient careand treatment, earningthe award for fourconsecutive years byhaving met the NAPBCstandards from theAmerican College ofSurgeons.
The Dedicated Breast Imagers of the Jacqueline M. WilentzComprehensive Breast CenterCynthia Barone, D.O.Dr. Barone is a board-certified radiologist who received her medicaldegree from the University of Medicine and Dentistry of New Jersey,School of Osteopathic Medicine. Dr. Barone completed a diagnosticradiology residency at Pennsylvania Hospital, Philadelphia, where shewas chief resident. She was fellowship trained in body imaging at theHospital of the University of Pennsylvania. Dr. Barone's special interestsinclude women’s imaging, including mammography and obstetrical and gynecologicalultrasound and stereotactic breast biopsy. She also is well versed in breast MRI.She holds board certification from the American Board of Radiology and her professionalmemberships include the Radiological Society of North America, the American College ofRadiology, the American Roentgen Ray Society and the Society of Breast Imagers.Yasmeen K. Shariff, M.D.Dr. Shariff received her medical degree from Temple University School ofMedicine, Philadelphia. She completed her residency in radiology atAllegheny General Hospital, Pittsburgh, and her fellowship at Pittsburgh’sWestern Pennsylvania Hospital, where she trained under Ellen B.Mendelson, M.D., director of breast imaging. She has been boardcertified as a diplomat of the American Board of Radiology since 1997.Prior to joining the staff of Monmouth Medical Center, Dr. Shariff was a staff radiologist atPrinceton Medical Center as well as a practicing radiologist at Princeton RadiologyAssociates. She is a member of American College of Radiology, Society of BreastImaging, Radiological Society of North America and the American Roentgen Ray Society.She specializes in women’s imaging, including high-volume mammography, stereotacticmammotome and ultrasound-guided breast biopsies, galactograms and cyst aspirations.She is the Director for Breast MRI and Diagnostic Ultrasound at Monmouth MedicalCenter.Ilona H. Hertz, M.D.Board-certified diagnostic radiologist, Dr. Hertz, received her medicaldegree from the Downstate Medical School - SUNY, New York. Shecompleted a diagnostic radiology residency at Mount Sinai Hospital,New York.Jennifer L. Keedy, M.D.Board-certified diagnostic radiologist Dr. Keedy, received her medicaldegree from the University of Miami School of Medicine. She completeda diagnostic radiology residency at Beth Israel Hospital/HarvardMedical School, Boston, and a health services research fellowship inwomen’s imaging from the Departments of Health Policy and Radiologyin Philadelphia. Dr. Keedy joined Monmouth from Pinecrest ImagingAssociates in Pembroke Pines, Fla., where she specialized in women’s imaging, includingultrasound and stereotactic biopsies, digital mammography and breast ultrasound. Sheholds board certification from the American Board of Radiology.Dr. Hertz joined Monmouth from Manhattan Diagnostic Radiology, NewYork, where she specialized in women’s imaging. She holds board certification from theAmerican Board of Radiology and her professional memberships include the RadiologicalSociety of North America, the American College of Radiology and Society of BreastImaging.Alexander B. King, M.D.Board-certified diagnostic radiologist, Dr. King, received his medicaldegree from the Rutgers University: Robert Wood Johnson MedicalSchool. He completed a diagnostic radiology residency at SaintBarnabas Medical Center in Livingston, N.J., where he served as ChiefResident. He completed a radiology economics fellowship at theAmerican College of Radiology. Dr. King specializes in Breast Imagingand Intervention. Prior to joining Monmouth, he completed a breast imaging andintervention fellowship at Barnabas Health Ambulatory Care Center in Livingston, N.J. Heholds board certification from the American Board of Radiology, and his professionalmemberships include the Robert Wood Johnson Medical School Student GovernmentAssociation and the American College of Radiology.Leny M. Rada-Banat, M.D.Leny M. Rada-Banat, M.D., is a board-certified radiologist whoreceived her medical degree from Ross University School of Medicine.Dr. Rada-Banat completed residencies in both internal medicine andradiology at Saint Barnabas Medical Center in Livingston, N.J. Shecompleted a fellowship in woman’s imaging at the same hospital, duringwhich time she conducted significant research in adenomyothelioma ofthe breast. Dr. Rada-Banat holds board certification from the American Board of InternalMedicine and the American Board of Radiology. She joined Monmouth from NorthernMonmouth County Medical Associates P.C.in Red Bank, N.J., where she specialized in women’s imaging.
About Our Comprehensive Approach to Breast Cancer CareAt Monmouth Medical Center, a team of highly qualified physicians treat a large volumeof breast cancer patients and stress attention to detail, consideration of all treatmentoptions, and a full panel discussion at each point in treatment through weeklymultidisciplinary team meetings. Each patient's individual circumstances are carefullyconsidered when making treatment recommendations, and the ability for each physicianto consult immediately with any of our breast center physicians has expedited care for ourpatients. Social workers, nurse navigators, and a genetic counselor are readily availableto assist patients and their families.Breast cancer care is provided at the comprehensive breast center located on the hospitalcampus, ensuring access to the advanced diagnostic and therapeutic services that anacademic medical center can provide. These include Monmouth's highly regardedlaboratory and radiology department, which offers PET/CT imaging through Monmouth'saffiliation with Shrewsbury Diagnostic Imaging.meticulous surgical technique, state-of-the-art radiation therapy and appropriatechemotherapy contributes to the center’s extremely low local recurrence rates afterlumpectomy. In fact, our documented results indicate one of the lowest local recurrencerates in the nation. Following surgery and treatment, patients are carefully followedthrough regular visits with the surgeon and medical and radiation oncologist.PathologyAdditionally, Monmouth Medical Center’s team of dedicated pathologists offer a highlevel of breast cancer tissue analysis that allows meticulous examination of the adequacyof the surgical removal of the tumor.Breast Reconstruction SurgeryWhen a mastectomy is necessary, techniques utilizing limited skin incisions are usedwhenever possible to maximize cosmetic outcomes. The Wilentz center’s team of boardcertified plastic and reconstructive surgeons offer an array of surgical options for breastreconstruction, including implant-based reconstruction and autologous tissue flaps using thepatient’s own tissue from the back or abdominal area. An individualized approach is usedfor each patient with emphasis on return to normal activities with the best possiblecosmetic results.Medical OncologyOur board-certified medical oncologists are experienced in every phase of cancertreatment management, including planning, coordination and collaboration. They workclosely with our surgeons and radiation oncologists to ensure patients receive the mosteffective treatment — whether it involves one or more cancer therapies, givensimultaneously or concurrently. By remaining at the forefront of ongoing research in novelcancer therapies, these physicians participate in numerous national clinical trials ofpromising new and experimental medical treatments.Breast SurgeryMonmouth offers advanced breast surgery led by a team of the region's finest boardcertified surgeons who specialize in breast surgery. Monmouth-affiliated breast surgeonswere the first in the region to offer protocol-tested sentinel lymph node biopsy — analternative to major surgery in determining whether a woman's breast cancer has spreadto her lymph nodes. Breast surgery is tailored to each patient’s specific needs and rangesfrom breast conservation to mastectomy with reconstruction by a panel of board-certifiedplastic and reconstructive surgeons. Additionally, Monmouth's team of dedicated breastimagers perform needle localization of breast lesions to help surgeons pinpoint the targetarea during surgery.Surgery is usually the first line of attack against breast cancer, and Monmouth's team ofbreast surgeons, radiation oncologists, and medical oncologists feel that combiningIn addition, our medical oncologists are supported by highly skilled nurses and other alliedhealth professionals in both outpatient and inpatient settings to provide individualized carethat meets the medical, physical and psychological needs of patients before, during andafter treatment. Our chemotherapy suite in the Leon Hess Cancer Center at MonmouthMedical Center provides a comfortable setting to meet the special needs of breast cancerpatients receiving outpatient chemotherapy treatment.Radiation OncologyAs the region's pioneer in delivering leading-edge radiation therapy, the team of boardcertified radiation oncologists at the Institute for Advanced Radiation Oncology atMonmouth's Leon Hess Cancer Center continues to gain international, national and staterecognition for its clinical application and research of breakthrough methods of radiationtherapy.Monmouth's Institute for Advanced Radiation Oncology is located immediately adjacent tothe breast center. Its board-certified radiation oncologists are actively involved in nationalclinical trials that are investigating a full spectrum of radiation therapies, as well asidentifying ways to reduce the side effects of treatment.
Breast Cancer High Risk ProgramThe Jacqueline M. Wilentz Breast Center offers patients the latest technology available forassessing breast cancer risk. Patients visiting any of our facilities for a mammogram areprovided with a tablet-style computer to check off answers to questions related to breasthistory and family cancer history. Based on guidelines published by the NationalComprehensive Cancer Network, the data gathered helps us estimate each patient’s risk ofgene mutation as well as lifetime risk of developing breast cancer. Risk assessment reportsare then provided to both patients and physicians.Education, which includes risk reduction strategies and medication management, support,counseling and clinical monitoring are offered to women who have strong family histories ofbreast cancer, have had previous breast biopsies or are otherwise at higher risk fordeveloping breast cancer. Genetic testing and counseling are available through the BreastCancer High Risk Program.Bone Density TestingBone density testing is a safe, quick, non-invasive, painless procedure that detectsosteoporosis at its earliest stages, when treatment is most effective. The Jacqueline M.Wilentz Breast Centers are equipped with a DEXA (Dual Energy X-Ray Absorptiometry)scanner, the most advanced densitometry equipment available.Recognized for its accuracy, low radiation exposure and ability to measure both hip andspine, DEXA scans are considered the gold standard of bone density measurements. Thesetests are also the only means of monitoring the success of treatment or detecting the effectsof other conditions or medications that can damage the skeleton.Mind, Social and Spiritual SupportWhere We AreOur specialists provide counseling and support, and make referrals to area communityresources to help patients and their families. Licensed clinical social workers lead breastcancer support groups to give patients a chance to talk with others who are in variousstages of treatment. The center also participates in other breast cancer programs inconjunction with the American Cancer Society, such as “Look Good, Feel Better.”In addition to our main location on the Monmouth Medical Center campus located at300 Second Avenue in Long Branch, the Jacqueline M. Wilentz Comprehensive BreastCenter offers satellite locations for the convenience of our patients.Patient NavigatorsThe patient navigator is committed to improving the overall experience of patients and theirfamilies. Our nurse navigator provides one-on-one assistance to breast center patients, andworks to eliminate barriers to timely screenings, diagnosis and treatments for eachindividual.The patient navigator can: Help patients and their families navigate through the health care system. Increase accessibility to available health care services. Connect patients with community resources, support, and health education. Direct patients to the social worker for financial issues and assistance. Assist patients in tracking and keeping scheduled appointments. Streamline communication between patients and their providers. Assist patients with their treatment journey to obtain the best possible care and experience Jacqueline M. Wilentz Breast Center at Colts Neck, located at 310 Route 34 South,next to Delicious Orchards. Jacqueline M. Wilentz Breast Center at Howell, located at 4013 Route 9 North, Suite2S, Aldrich Plaza Shopping Center. Jacqueline M. Wilentz Breast Center at Lakewood, located at 600 River Avenue atMonmouth Medical Center, Southern Campus.All locations offer screening mammography services in a comfortable and compassionatesetting. All imaging exams conducted at our satellite locations are performed byexperienced mammography technologists and interpreted by Monmouth Medical Center’shighly skilled radiologists.
Colts Neck Jacqueline M. Wilentz Breast Center at Colts Neck Screening Mammography and Bone Density Testing 310 Route 34 South, Second Floor Colts Neck, NJ 07722 732.923.7700 Howell Jacqueline M. Wilentz Breast Center at Howell Screening Mammography, Bone Density, X-ray and Genetic Counselin
4 Breast cancer Breast cancer: A summary of key information Introduction to breast cancer Breast cancer arises from cells in the breast that have grown abnormally and multiplied to form a lump or tumour. The earliest stage of breast cancer is non-invasive disease (Stage 0), which is contained within the ducts or lobules of the breast and has not spread into the healthy breast tissue .
5 yrs of anti-hormone therapy reduces the risk of: – breast cancer coming back somewhere else in the body (metastases / secondaries) – breast cancer returning in the same breast – a new breast cancer in the opposite breast – death from breast cancer The benefits of anti-hormone therapy last well
Breast cancer development In the United States, breast cancer is the most common cancer diagnosed in women (excluding skin cancer). Men may also develop breast cancer, but less than 1% of all people with breast cancer are men. Breast cancer begins when healthy cells in the breast change and grow uncontrollably, forming a mass called a tumor.
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breast cancer, metastases, advanced breast cancer, secondary tumours, secondaries or stage 4 breast cancer. For most people with secondary breast cancer in the brain, breast cancer has already spread to another part of the body such as the bones, liver or lungs. However, for some people, the brain may be the only area of secondary breast cancer.
for-the-management-of-breast-cancer-v1.doc 8 . Organisation of breast cancer surgical services . The multidisciplinary team (MDT) Breast cancer care should be provided by breast specialists in each disciplineand multidisciplinary teams form the basis of best practice. All new breast cancer patients should be reviewed by a multi-disciplinary .
1. Identify breast anatomy and physiology internally and externally 2. Discuss the factors and physiologic changes that will affect breast tissue composition. 3. Identify physical changes in the breast. 4. Describe breast structure, developmental stages and the differences between the male and the female breast
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