Breast cancer treatment in Lone Tree, Colorado
We understand how frightening a breast cancer diagnosis can be. The breast cancer experts at Sky Ridge Medical Center are here for you, from diagnosis to recovery. In addition, our nurse navigator can provide support and guidance and our compassionate cancer care team works diligently to provide you with the very best care throughout every stage of your journey.
We are affiliated with the Sarah Cannon Cancer Network of Excellence and we use the most advanced techniques to accurately diagnose and treat your cancer in a compassionate, healing environment. Breast cancer affects more women than any other type of cancer, but it is also one of the most treatable types of cancer.
Our team will work with you to develop a personalized breast cancer treatment plan to help you battle this disease, and our breast health nurse navigator will be with you every step of the way to provide support and guide you through your treatment options.
Why choose the Sky Ridge Breast Cancer Center
- The latest technology for imaging through our partner Invision Sally Jobe, such as 3D mammograms (breast tomosynthesis) and digital mammography services
- Advanced treatment from our medical oncologists
- Appointment with a specialist within 48 hours
- DIEP flap breast reconstruction after mastectomy and SPY imaging technology
- Minimally invasive procedures, such as Hidden Scar™ breast cancer surgery
- Accredited by the National Accreditation Program for Breast Centers (NAPBC)
- Access to breast cancer clinical research trials
- Genetic counseling and hereditary cancer risk assessment
- Infusion services for chemotherapy treatment
- On-site radiation oncology services
- Sarah Cannon Cancer Network of Excellence
Breast cancer nurse navigator
The goal of our breast cancer nurse navigator is to provide newly-diagnosed and current breast cancer patients, as well as loved ones and support team members, with the education, support and coordination to help them maneuver effectively through their care after a diagnosis of breast cancer.
Our breast health navigator will:
- Coordinate services throughout the continuum of breast care
- Supply educational resources on breast health, breast cancer and breast care
- Help patients make informed decisions about their breast care plan
- Promote communication between patients and their healthcare providers
Contact our breast cancer navigator at (720) 225-2273.
Meet Marina Marvin, our breast health nurse navigator
Marina Marvin, RN, our Breast Health Nurse Navigator, attended St. Vincent’s Hospital in Dublin, Ireland, where she earned her nursing degree. With more than 23 years of nursing experience, Marina came to Sky Ridge Medical Center from Rose Medical Center.
She is passionate about oncology care and has spent more than 15 years honing her experience in this area.Marina is dedicated to evidence-based practice and innovation, and has received numerous accolades, including the Nightingale Luminary Nomination, Colorado Regional Luminary in Leadership-Advocacy-Innovation, Nurse of the Year from Rose Medical Center and Excellence in Nursing Practice Award for the Department of Oncology and Palliative Care at North Western Memorial Hospital, Chicago, Illinois.
A quick note from Marina
Let me introduce myself...My name is Marina Marvin, and I am the Breast Health Nurse Navigator at Sky Ridge Medical Center. I started in December 2016, and I am appreciating every moment that I spend with my patients and co-workers.
What being a nurse navigator means to me
As a nurse navigator, I am a member of the multi-disciplinary care team at Sky Ridge, serving as an advocate and educator for those facing cancer from diagnosis through survivorship. I will help coordinate a plan of care including appointments, education, support services and represent you within the multi-disciplinary care environment.
I am also here to support each and every one of you who has completed treatment for breast cancer, and patients who are still going through the process to get better. If you have any additional questions, please contact me at (720) 225-2273.
Breast cancer surgery
Breast cancer is the second most common cancer among American women, and 70 percent of women who are newly diagnosed are unaware of all the surgical options available, including minimally invasive approaches that can help restore their self-image and allow them to begin the emotional healing process. Sky Ridge Medical Center wants to educate women on their options, because we know a breast cancer diagnosis can threaten not only a woman’s life, but her self-confidence.
Hidden Scar™ breast cancer surgery
Our breast cancer care team at Sky Ridge is always striving to provide the best for our patients. As part of our commitment to compassionate, expert care, Dr. Joyce Moore, a breast surgeon with the Breast Center at Sky Ridge Medical Center, and her team are using the most advanced techniques for breast cancer patients by performing Hidden Scar™ breast cancer surgery.
Moore and her practice are the only group in Colorado performing this surgery. Hidden Scar™ is an advanced surgical approach where cancerous tissue is removed through a single incision made in an inconspicuous area, resulting in less visible scarring. This procedure effectively treats cancer while preserving the natural shape of the breast and leaving no visible reminders behind. , which can have a positive impact on the patient’s psychological and emotional recovery.
This minimally invasive treatment helps to increase safety, precision and efficiency," says Moore. “This is one more tool in our comprehensive, accredited breast program at Sky Ridge.”
Hidden Scar™ breast cancer surgery can be used in:
- Nipple-sparing mastectomies—Removal of all underlying breast tissue while keeping the breast skin and nipple area intact
- Lumpectomies (breast conserving surgery)—Removal of the tumor and a small area of surrounding healthy breast tissue while saving the majority of the breast
Who is a candidate for Hidden Scar™ breast cancer surgery?
Qualification depends on a patient’s tumor size and location, breast shape and size and the surgeon’s training. Hidden Scar™ breast cancer surgery may be appropriate for a wide range of breast cancer patients undergoing nipple sparing mastectomy or lumpectomy (breast conserving surgery) procedures.
For more information on Hidden Scar™ breast cancer surgery, please visit Hidden Scar Breast Cancer Surgery website.
Breast reconstruction surgery
The latest data suggests nearly 70 percent of women receive no form of breast reconstruction after mastectomy. Sometimes this is the woman’s choice, while other times it is due to severe disease. In many cases, however, it is because women are not getting adequate information and education about their options for breast reconstruction. After surgical removal of breast cancer, many women inquire about or desire reconstruction of the breast. Breast reconstruction can ultimately help women regain their confidence and feminine form.
There are many factors that need to be considered including the patient’s personal preference, pathologic stage of the breast cancer and planned treatments, such as chemotherapy and radiation. A plastic surgeon with expertise in breast reconstruction can help educate you about your specific options.
Breast cancer presents women with dual challenges: not only must they battle a life-threatening illness, but survivors can be left feeling permanently scarred by life-saving surgeries employed to combat their breast cancer.
Other women have not been affected by cancer, but find themselves at high risk of developing breast cancer in the future due to genetic predispositions and are proactively seeing breast reconstructive options. Our reconstructive surgeons are experienced in the most advanced breast reconstruction techniques, whether you’re considering immediate or delayed breast reconstruction, autologous tissue breast reconstruction or implant based breast reconstruction. Additionally, our team uses the latest technology to ensure the best outcomes for you!
Types of breast reconstruction
Autologous tissue breast reconstruction
Autologous tissue breast reconstruction allows the surgeon to use your own fat, skin and muscle to rebuild your breast. With autologous tissue breast reconstruction, surgeons can re-form breasts that look and feel more natural, without the need for artificial implants, over the course of several stages.
Our plastic surgeons are among only a handful in the U.S. who perform the most advanced breast reconstruction techniques, including perforator based microsurgical techniques that can help speed recovery and limit weakness by sparing the underlying muscles. Sky Ridge Medical Center partners with reconstructive surgeons to offer the most advanced techniques in autologous breast reconstruction including, but not limited to:
- DIEP (deep inferior epigastric perforator) flap—Surgeons use fat and skin from the patient’s abdomen to create new breasts in the initial stage of this breast reconstruction.
- SGAP (superior gluteal artery perforator) flap—Surgeons use fat and skin from the patient’s buttocks to create new breasts in the initial stage of this breast reconstruction.
- TUG (transverse upper gracilis) flap—surgeons use fat and skin from the patient’s inner thigh to create new breasts in the initial stage of this breast reconstruction.
- TRAM (transverse rectus abdominus myocutaneous) flap—Surgeons use fat, skin and underlying muscle from the patient’s abdomen to create new breasts in the initial stage of this breast reconstruction.
- Muscle-sparing free tram (transverse rectus abdominus myocutaneous) flap—Surgeons use fat, skin and underlying muscle from the patient’s abdomen to create new breasts in the initial stage of this breast reconstruction.
- Latissimus (latissimus muscle) flap—Surgeons use fat, skin and underlying muscle from the patient’s back to create new breasts in the initial stage of this breast reconstruction.
Implant-based breast reconstruction
Many women considering breast reconstruction elect to use implants to help re-form their breasts. Implant and tissue expander methods of breast reconstruction are ideal for those women who do not have enough of their own tissue to use for reconstructing the breast or those who simply desire an implant-based reconstruction. With these techniques, there are no other donor sites from which tissue is removed.
Sky Ridge Medical Center partners with reconstructive surgeons to provide high quality comprehensive care that our breast patients deserve. They are well versed in the most advanced surgical techniques, and can help you decide what type of breast reconstruction might be right for you.
Most breast cancer diagnoses happen by chance and are not due to a gene mutation being passed down in the family. However, for the five to ten percent of breast cancer diagnoses that are the result of an inherited gene mutation, the majority are due to a mutation in either the BRCA1 or BRCA2 genes. Women who have a mutation in either of these genes are at increased risk for specific types of cancer such as breast and ovarian cancer.
In collaboration with Rocky Mountain Cancer Centers, Sky Ridge Medical Center offers a high-risk breast cancer clinic for women concerned about their risk for breast cancer due to a significant family history of breast cancer. Women referred to the high-risk breast cancer clinic meet with a genetic counselor to discuss possible breast cancer risk reduction options based on an individualized risk assessment.
Women who are interested in meeting with a genetic counselor should first speak with their physician to determine if genetic counseling is appropriate for them. Please visit Rocky Mountain Cancer Centers for more information or call (303) 925-0700 to make an appointment.
Breast cancer BRCA gene information and FAQs
What does it mean if you carry a BRCA1/2 gene mutation?
Women with a BRCA1/2 gene mutation are at greatly increased risk for breast cancer (up to 87 percent chance in their lifetime) and ovarian cancer (up to 44 percent chance in their lifetime). Men who carry these gene mutations are at increased risk for male breast cancer and prostate cancer. Both men and women can be at increased risk for pancreatic cancer, depending on the gene involved and the family history.
It is important to note that there are other causes of breast and ovarian cancer running in families, so just because a patient tests negative for the BRCA1/2 gene mutations, they may still be at risk for breast or ovarian cancer. Most individuals who get breast and ovarian cancer do not carry these gene mutations. Thus, it’s very important that these test results are interpreted in the context of the individual’s family history by a genetic counselor or other qualified healthcare provider.
Why would someone want to know they carry a BRCA1/2 gene mutation?
Many patients want to know this information so they can take steps to detect cancer early, if not prevent it altogether. If a woman has a BRCA1/2 gene mutation, she can undergo earlier and more frequent screenings for cancer. She can explore options to reduce her risks of both breast and ovarian cancer, such as taking medications or undergoing preventive surgeries. Although some pursue a preventive mastectomy, not all women with BRCA1/2 gene mutations go this route. Many choose stringent screening for breast cancer via mammography and breast MRI.
Men often want to know this information to understand their risks for male breast cancer as well as prostate cancer (which can be associated with BRCA1/2 gene mutations).
Women who are newly diagnosed with breast cancer often want to know this information to assist them in making decisions about treatment, such as whether to pursue a lumpectomy or a more extensive surgery, like a bilateral mastectomy. If a patient tests positive for a BRCA1/2 gene mutation, she may also consider preventive surgery to remove her ovaries.
Both men and women are often interested in their genetic test results to determine whether their children might have inherited a BRCA1/2 gene mutation and, as a result, need to begin cancer screening at an earlier age. For example, breast cancer screening begins at age 25 for young women who carry a BRCA1/2 gene mutation. When an individual carries a BRCA1/2 gene mutation, each of their children (as well as their siblings) has a 50/50 chance to carry the same mutation.
And, alternatively, some individuals decide that they don’t want to know this information. A genetic counselor or other qualified healthcare provider can assist patients in making a decision that’s right for them.
Who should be tested for the BRCA gene mutation?
Not everyone should undergo BRCA1/2 genetic testing. Only about five to ten percent of breast and ovarian cancers are caused by mutations in these genes. About one in 500 non-Ashkenazi Jewish individuals carry these gene mutations and about 1/40 Ashkenazi Jewish individuals carry them. Ashkenazi Jewish means that a person is Jewish and has ancestors from Central or Eastern Europe.
The following are "red flags" for a BRCA1/2 gene mutation, whether the patient falls into this category or they have a relative who does:
- Breast cancer prior to age 50 (or at any age, if Ashkenazi Jewish ancestry)
- Three or more relatives with breast cancer (on the same side of the family) at any age
- Ovarian cancer (at any age)
- Male breast cancer (at any age)
- A combination of breast, ovarian and/or pancreatic cancer in the same individual or on the same side of the family
It is important to note that half of all people who carry a BRCA1/2 gene mutation inherited it from their fathers, so both paternal and maternal family history are equally important.
Patients are encouraged to meet with a genetic counselor or qualified healthcare provider to discuss their personal and family history of cancer to determine whether BRCA1/2 genetic testing makes sense for them.
What is involved in BRCA1/2 genetic testing?
The actual genetic testing is done via a blood sample or a cheek cell sample (collected with mouthwash). It takes about two weeks to get results.
Does insurance cover the genetic testing and additional screening/surgeries for patients who test positive for a BRCA1/2 gene mutation?
As long as it is clinically indicated, BRCA1/2 genetic testing is most often covered by insurance. "Clinically indicated" means that the patient’s personal and/or family history are suggestive of a BRCA1/2 gene mutation (as discussed above). Criteria for coverage varies from insurance company to insurance company. A genetic counselor or qualified healthcare provider can help you gather more information about your coverage for this type of testing. If a patient tests positive for a BRCA1/2 gene mutation, any additional screening, medications and/or surgeries are typically covered by insurance as well.
Can someone be discriminated against based on results from a BRCA1/2 genetic test?
The Genetic Information Non-discrimination Act (GINA) makes it illegal for a group or individual health insurer to discriminate against someone based on results from any type of genetic testing. These results cannot be used as a pre-existing condition nor can they be used to set rates or deny coverage for any services. GINA also prohibits genetic discrimination by employers. Many states have additional laws for other types of insurance, such as long term care, long term disability and life insurance.
If you are interested in learning more about genetic testing for cancer, please contact the Risk Assessment and Prevention Program at Invision Sally Jobe at (720) 493-3229 or Rocky Mountain Cancer Centers at (303) 925-0700. Bright Pink, a national non-profit organization, offers a simple tool that helps you assess your risk for breast and ovarian cancer.
Breast cancer resources
- A guide to wig buying—compare the best wigs for you
- Alliance in reconstructive surgery
- American Breast Cancer Foundation
- American Cancer Society
- Cancer Care
- Cancer Recovery Foundation
- Invision Sally Jobe
- Living Beyond Breast Cancer
- Look Good Feel Better
- Stupid Cancer
- The Truth about Breast Cancer Myths with Dr. Joyce Moore, Sky Ridge Breast Care Program Co-Director
- Genetic Experts Important to Breast Cancer Team
- Mammography Saves Lives
Look Good Feel Better®
The Look Good Feel Better program is for women undergoing chemotherapy or radiation treatment for cancer. This two-hour hands-on workshop includes a 12-step skin care and makeup program; information on hair loss options, including wigs, turbans and scarves; and nail care tips. Each participant receives a complimentary kit of cosmetics to use during the program and take home with them.
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About Sarah Cannon Cancer Institute
Sky Ridge Medical Center is part of Sarah Cannon, the Cancer Institute of HCA Healthcare. Our family of hospitals provides comprehensive cancer services with convenient access to cutting-edge therapies for people facing cancer in our communities. From diagnosis, to treatment and survivorship care, our oncology expertise ensures you have access to locally-trusted care with the support of a globally-recognized network.
Have cancer questions? We can help. askSARAH is a dedicated helpline for your cancer-related questions. Our specially-trained nurses are available 24/7 and all calls are confidential. Contact askSARAH at (303) 253-3225 or chat online at askSARAHnow.com.