General Practitioners

• Osteoporosis
• Arthritis
  There was concern over the association of breast implants and the development of autoimmune diseases. A review of several large epidemiological studies of women with and without implants indicates that autoimmune or connective tissue diseases, such as lupus, scleroderma or rheumatoid arthritis are no more common in women with implants than those in women without implants. ( FDA website )
• Ear Infections

Ophthalmologists

• Cataracts
  Symptoms of menopause, including hot flashes, vaginal discharge, irregular periods, headaches, fatigue, nausea, vaginal dryness, decrease in sexual interest

Gynecologists

• Pregnancy

Internists

• Ovarian Cancer
  Although genetics plays a role in all cancers, one single genetic alteration is not enough for a cancer to form. Even women with BRCA 1 and BRCA 2 gene alterations are not guaranteed to develop cancer. They are clearly at a much greater risk for the development of breast and ovarian cancer, but other factors still come into play.
• Colon Cancer
• Cancer Care
  Because we value the time we spend to connect with our patients, the number of patients that we can evaluate in a given day is limited. We pride ourselves on remaining on the cutting edge of breast care by offering the latest technological advancements in breast cancer care. By adopting minimally invasive techniques as the standard of care, we have been able to greatly decrease the time from when you are seen in the office to your biopsy. Once we know what we are dealing with in terms of the pathologic diagnosis, we can move forward towards definitive treatment.

Neurologists

• Neurology
  Eventually she narrowed her practice in maternal fetal medicine to focus on the role genetics plays in reproduction and fetal development. In the mid-1990s, seeing the importance of genetics to other fields of medicine, Carol became active in oncology and neurology genetics. Today, in her work in the Holy Redeemer Hereditary Cancer Risk Evaluation Program, she helps patients understand new technology and developments in that expanding field. She is certified by the American Board of Genetic Counseling.

Endocrinologist

• Diabetes Care
• Thyroid
• Thyroid Cancer

Radiologist

• Ultrasound
  The breast surgical oncologist will then come in to examine you and this may include ultrasound scanning of your axilla, arm pit and or your breast to look for a marker that would have been placed at the time of your biopsy
• MRI
  Breast MRI in high-risk women, those carrying the BRCA gene or those with a >20 percent lifetime risk of breast cancer, as calculated by their doctor, may obtain an annual MRI as part of their screening process.
• Radiology
  Denise joined our practice in November 2008. After working in the front office for a brief period, she accepted the position of surgical scheduler. She coordinates the scheduling of our patient’s surgical procedures as well as their radiology studies and other necessary appointments.
• X-Rays
• Mammography
  Obesity, a diet high in saturated fats, lack of exercise and environmental pollutants are also linked to the development of breast cancer. Radiation exposure (in levels much higher than mammography requires for screening) has deleterious effects on normal cellular function. Free radical formation is thought to be at the root of the aforementioned factors. Getting enough vitamins, antioxidants and maintaining a healthy lifestyle are ways to be proactive about breast cancer.
• Computed Tomography
  Liver function tests – A blood test that is a screening study for abnormalities of the liver. If the liver functions are elevated, a CT scan of the abdomen may be indicated.
• Chemotherapy
  A diagnosis of breast cancer is life changing. Understanding one very important point—no one dies of breast cancer in their breast—is a very important starting point in choosing your treatment plan. Women and men die of breast cancer when it has spread outside of the breast and settles in distant organs and fails to respond to chemotherapy or radiation. Becoming educated about your personal situation is of the utmost importance.
• Radiation Therapy
  Many women do not realize that their insurance plan will cover post-operative bras, garments and/or camisoles. After a mastectomy, a woman can receive an artificial breast prosthesis and special bra, but many women do not know that their insurance will pay for the post-operative bras and garments that are needed after lumpectomy, during radiation therapy or partial breast prosthesis during reconstruction after mastectomy. Ask your doctor or nurse navigator for more information.

Surgeons

• General Surgery
  Dr. Anna Mazor has a true passion for caring for individuals with benign and malignant diseases of the breast. A board eligible breast surgeon, she received a Bachelor of Science in Biology from Ursinus College, in Collegeville, PA and obtained a degree in Osteopathic Medicine, and completed a residency in General Surgery at the Philadelphia College of Osteopathic Medicine (PCOM). She then completed a fellowship in breast surgical oncology at Fox Chase Cancer Center. Dr. Mazor’s professional memberships include the Pennsylvania Osteopathic Medical Association, the American College of Osteopathic Surgeons, the American Society of Breast Surgeons, and the American College of Surgeons.

Plastic Surgeons

• Breast Augmentation
  Women who contemplate breast enhancement or augmentation should consider the risks and benefits of the surgery. First and foremost, the surgery to enhance the breast tissue is one that should be done as a personal choice and not to “please” someone else. With the exception of Poland’s Syndrome, congenital absence of the breast tissue, the only medical indication for breast augmentation is to create symmetry in a woman undergoing mastectomy (removal of the breast) and reconstruction.
• Breast Reduction
  Breast reduction surgery is a procedure that a woman often thinks about for years prior to following through with the actual operation. Shoulder and back pain, as well as the mere large size of the breasts are the main reasons for seeking surgical reduction of the breast volume. When being evaluated for the surgery, it is important to express your desires to the surgeon about what your expectations are as far as the size that you want your breasts to ultimately become. They cannot create your new breasts to your liking if you do not make your wishes known. The surgery takes between 2 and 4 hours to complete. The nipple complex is preserved and every attempt is made to maintain the sensation to the nipple, although occasionally the sensation to that area is changed from the surgery. The scars from the surgery are in the form of an inverted “T.”
• Breast Reconstruction
  Advantages – Keeps the chest muscle and the muscle strength of the arm. Swelling is less likely, and when it occurs, it is milder than the swelling that can occur after a radical mastectomy. It leaves a better appearance than the radical mastectomy. Survival rates are the same as for the radical mastectomy when cancer is treated in early stages. Breast reconstruction is easier and can be planned before surgery.
• Abdominoplasty
  SIEA – More recently, the superficial inferior epigastric artery (SIEA) flap was described as the true abdominoplasty flap for breast reconstruction. It is based on the superficial inferior epigastric vessels, which arise from the common femoral vessels and course through the subcutaneous tissues. The harvest of this flap does not violate the anterior abdominal wall fascia or musculature and as a result, patients experience less post-operative pain, quicker recovery and no chance of hernia formation. Unfortunately, clinical experience has shown that the superficial inferior epigastric vessels are either absent or too small to adequately perfuse a free flap transfer of abdominal tissue in the majority of patients. These vessels are only adequate for use in approximately 20 to 30 percent of patients and are smaller than the deep inferior epigastric vessel system with less blood volume flow as a result.
• Breast Surgery
  Dr. Malini Iyer is an accomplished surgeon who specializes in breast oncology and breast surgery. She has dedicated her career to the management of benign and malignant diseases of the breast, with a special focus on the treatment of breast cancer.

Dermatologists

• Skin Cancer
  In an attempt to better diagnose lymph node metastasis and decrease complications associated with axillary dissection, a method of lymph node mapping adopted from melanoma treatment has been used to identify the sentinel (the first line of defense) lymph node. This lymph node can be evaluated for microscopic metastasis through various procedures from a frozen section done in the operating room to high tech evaluation called cytokeratin staining. It generally takes 7 days to receive the results and is far more sensitive than the naked eye of the pathologist. (It is unclear what the implication of cytokeratin positive cells in the sentinel lymph node means; therefore, many centers have abandoned this as part of their standard practice).
• Cyst
• Eczema
  There is a relatively rare (less than 1 to 2 percent) form of breast cancer called Paget’s disease. Although you could have eczema of the nipple, Paget’s disease must be considered. The first symptom is usually an eczema-like rash. It is a sign of a cancer underlying the nipple complex. It can be red, oozing or crusty. It is often not seen on the mammogram or ultrasound and often is found only with a biopsy.
• Lesions
  Benign – A category of breast lesions that do not need to be removed and do not increase a woman’s risk of developing breast cancer. Lesions that fall into this category are fibroadenomas, papillomas, fibrous mastopathy, sclerosing adenosis, PASH (pseudoangiomatous stromal hyperplasia) and various other noncancerous growths.
• Skin Care
  Your body responds to infection by making extra fluid to fight the infection. Removal or damage to lymph nodes and vessels makes it harder to move this extra fluid. This can trigger lymphedema. Good hygiene and careful skin care may reduce the risk of lymphedema by helping you avoid infections.
• Burns

Physical Therapists

• Physical Therapy
• Neck Pain
• Back Pain

Allergists

• Allergies