Online video consultations with Dr. Rable include reviewing patient reports and developing an individualized treatment plan. The Oklahoma Breast Center utilizes the Doximity dialer video call system. This is a HIPPA compliant, secure service that connects patient and doctor over the internet.
There is no need to install any application on your phone or computer to utilize this service. The video call system also allows family members to conference into the call from a third location to provide additional patient support during consultation.
A followup appointment for a clinical exam will be scheduled to coordinate with any additional consultations that might be required from other providers. This allows some patients to save considerable travel time and expense and still have access to state of the art breast care services.
For women requiring removal of small breast lesions that cannot be felt, pre-operative localization is necessary. This is typically accomplished with a guidewire placed by the radiologist on the morning of surgery to mark the tumor. The guidewire exits the breast and is secured to the patient until it is removed during surgery.
Alternatively, Sirius Pintuition, powered by state-of-the-art GPSDetect™ software, is the only wire-free localization technology designed to provide navigational guidance in an easy-to-use and intuitive system. This Guided Pinpoint Software (GPS) provides real-time directional guidance using audio and visual feedback for unmatched precision to locate tumors more easily and accurately. This clip localized procedure is much more comfortable and convenient for the patient and allows for greater flexibility with surgery scheduling.
Dr. Denise Rable and Breast Reconstruction Associates have joined forces to offer the most advanced and innovative breast reconstruction procedures in Oklahoma. For women who require mastectomy for cancer treatment or prevention, breast reconstruction is an option. Reconstruction can be accomplished either with implants or the patient's own soft tissue. Our team of reconstructive experts are compassionate physicians as well as highly trained and skilled reconstructive microvascular surgeons. They partner with the patient, her breast surgeon and oncology team to develop the most appropriate reconstruction plan. This collaboration ensures that sound oncologic principles are followed while providing the patient with a sense of wholeness and a beautiful cosmetic result.
Nipple Sparing Mastectomy is a surgical advancement for women undergoing removal of the breast due to breast cancer or as a preventative measure known as risk reduction surgery. Through a small incision, all of the breast glandular tissue is removed from beneath the overlying skin and nipple.
Only the most highly trained and experienced Breast Surgical Oncologists are able to reliably perform Nipple Sparing Mastectomy with high overall success rates. While this procedure is not appropriate for all patients, it may be an option available to some.
A risk factor is anything that increases your chances of getting a disease, such as breast cancer. But having a risk factor, or even many, does not mean that you are sure to get the disease. Some risk factors for breast cancer are things you cannot change, such as getting older or inheriting certain gene changes. These make your risk of breast cancer higher.
Jeneice Miller, APRN and Certified Genetics Nurse manages high risk patients. She also provides genetic counseling and testing services following the most up-to-date national oncology society guidelines.
Take this quiz to determine your cancer risk.
While less common than female breast cancer, the outlook for male breast cancer is excellent if diagnosis occurs in the early stages. One factor in the delay in diagnosis is a lack of awareness. While many women know how to look out for changes that could indicate breast cancer, there is less awareness among men, which means they may be less likely to seek help in the early stages. Possible symptoms of male breast cancer include:
If you notice these symptoms please see your doctor and know that we have treated many male breast cancer patients.