Issue link: https://viewer.e-digitaledition.com/i/1029344
JANA DEITCH, MD, FACS, DIRECTOR OF BRE A ST HE ALTH SERVICES AT ST. CATHERINE OF SIENA MEDICAL CENTER, DISCUSSES THE PERSONALIZED CARE, ADVANCED SCREENING OPTIONS AND COMPREHENSIVE TRE ATMENTS AVAIL ABLE TO WOMEN AT ST. CATHERINE. Q : W h a t s e t s B r e a s t H e a l t h Services at St. Catherine apart from other institutions? Dr. Deitch: Every person who comes here for treatment is v iewed a s a person, not a number. We focus on patients and learn their needs, wants, fears and hopes for treatment, with- out a ll of the background noise that ca n come from a la rge institution. The tea m of radiolog ists, pla stic surgeons, oncologists and I work closely to customize care for each patient and ma ke sure we're delivering persona lized treatments, instead of ta king a one-size-fits-a ll approach. Q : What diagnostic and screening procedures does St. Catherine offer as part of its Breast Health Services? Dr. Deitch: We perform a ll forms of screening and diagnos- tic breast imag ing at our Women's Hea lth a nd Outpatient Diagnostic Pavilion. These services include mammograms, ultrasounds, MRIs and a ll forms of biopsy. We also oªer 3D mammography, which provides better visu- alization of the breast. During standard 2D mammography, the radiologist may need to ca ll the patient back in for a follow-up screening if the results are inconclusive or point to a possible ma lig na ncy. Because of the improved visua lization of 3D mammography, we can reduce call back rates, which provides more convenience, lower cost and less anxiety for patients. Q : Who would be a good candidate for 3D mammography? Dr. Deitch: Any woman who comes in for a mammogram would benefit from 3D mammography, but the greatest benefits are provided to women with dense breast tissue. Q : How often should women be screened for breast cancer? Dr. Deitch: Ea rly dia g nosis is key to brea st ca ncer surviva l, so the best thing patients can do is schedule a mam- mogram once a year starting at age 40. For those with family histor y or a higher risk of breast cancer, earlier screenings may be recommended. We also oªer genetic testing and counseling for high-risk patients. We recommend these patients follow an alternating biannual mammogram and MRI schedule and to follow-up with breast exams twice a year. Q : What treatment options are available for women who are diagnosed with breast cancer? Dr. Deitch: The overwhelming majority of women with breast ca ncer will require surger y at some point — either before or a f ter chemotherapy or radiation therapy. We offer the latest surgica l techniques, including pa r tia l a nd bilatera l mastec- tomies, a s well a s brea st reconstr uction using impla nts or autologous f lap microsurgica l procedures. These procedures use donor tissue from other pa r ts of the body, such a s the abdomen or thigh, to reconstruct the breast, which may be favorable or necessa r y in cer ta in patients. Visit sienawomenshealth .org and click on "Breast Health" to learn more. ■ " I had a family member who passed away from breast cancer, and I didn't want others to experience what I did. I couldn't make a difference in her life, but I wanted to make a difference in others' lives. That's why I became a breast surgeon." ž JANA DEITCH, MD, FACS, DIRECTOR OF BREAST HEALTH SERVICES AT ST. CATHERINE OF SIENA MEDICAL CENTER TALKING BREAST HEALTH at St. Catherine of Siena Medical Center BY JOSH GARCIA Jana Deitch, MD, FACS M D N E W S . C O M /// M D N E W S L O N G I S L A N D ■ 2 018 1 3