Integris Breast Surgery can now schedule virtual visits. Online consultations with Dr. Rable include developing an individualized treatment plan, with breast exam completed in person prior to surgery. This allows some patients to save considerable travel time and still have access to state of the art breast cancer services. Some after hours appointments are available as well.
Counseling for high risk patients and well as genetic counseling and testing are provided by Dr. Rable and Jeneice Miller, APRN with Advanced Genetics certificate. In addition to the more commonly known BRCA mutations, full panels of cancer genes are now tested. This genetic information can be invaluable to patients and their families when making cancer screening and treatment decisions.
Our clinic's Nurse Navigators provide our patients with much-appreciated guidance and comfort. Our Navigators will be a resource for you from your initial referral to our clinic through your postop appointment. We have two full time Nurse Navigators who will coordinate consults, referrals and surgery. They are also available to address any special needs or concerns you might have. Their top priority is supporting you through this journey.
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 is an option available at Integris Breast Surgery.
Integris Breast Surgery 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.
Integris Breast Surgery offers the newest technology in tissue localization. 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, a radioactive seed is a small clip (2-3mm) that is inserted into the breast up to a week before surgery to mark the tissue to be removed. The clip can be detected intraoperatively and is removed with the resected tissue. This seed localized procedure is much more comfortable and convenient for the patient and allows for greater flexibility with surgery scheduling.
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.
The Integris Oncology team includes specialty trained:
Breast Radiologists
Breast Surgical Oncologists
Pathologists
Medical Oncologists
Radiation Oncologists
Reconstructive Surgeons
This team meets weekly to develop and coordinate patient treatment plans. We will work closely with you, your primary physician and Cancer Program support staff to devise and carry out the most appropriate and effective treatment plan for you.
Integris Breast Surgery collaborates with the Oklahoma Proton Center to offer proton therapy to appropriate patients. While traditional radiation treatment methods that use X-rays such as IMRT or TomoTherapy can be effective in treating breast cancer, they can often cause treatment-related side effects due to excess radiation exposure. Proton therapy can help lower the risk of excess radiation because protons can be stopped inside the tumor. Proton therapy is available to patients with early-stage and locally-advanced breast cancers such as: Ductal carcinoma in-situ (DCIS), Inflammatory breast cancer, ER, PR positive or negative , Her2Neu positive or negative, triple-positive or triple-negative breast cancer, recurrent breast cancer and breast cancer patients who have previously received radiation therapy in close proximity to the new target area.