Colorado Total Breast Health at Rose Medical Center
Rose Total Breast Care is pleased to be a part of Colorado Total Breast Health, a collaboration that includes fellow HealthONE hospitals North Suburban Medical Center and Presbyterian/St. Luke’s Medical Center along with Sarah Cannon, HCA Healthcare’s globally recognized cancer network.
As part of the Sarah Cannon Cancer Institute, we are part of a global cancer network providing cutting-edge care with the most advanced resources.
Colorado Total Breast Health is your partner in overall breast wellness delivering the turnkey support women need: ease of access, personalized treatment, collaboration and state-of-the-art capabilities. Our team of expert breast imaging radiologists, surgeons, genetic counselors, oncologists, specially trained nurses, nurse navigators and provide a seamless pathway for breast health.
Trusted, accredited care
Our accredited breast cancer treatment program assures leading-edge, comprehensive, high-quality care. We are accredited by the Commission on Cancer (CoC) and the National Accreditation Program for Breast Centers (NAPBC), administered by the American College of Surgeons. The American College of Surgeons recognizes cancer care programs for commitment to providing comprehensive, high-quality, multidisciplinary patient centered care—a distinction earned by only 25 percent of hospitals nationwide.
We understand that a diagnosis of breast cancer can be frightening and overwhelming. The Colorado Total Breast Health team wants to walk alongside you and your family through the diagnosis and treatment journey into recovery and survivorship. Our specialized oncology nurse navigators are your go-to resource for everything related to your diagnosis, treatment, and support. The nurse navigators are your advocates, helping to reinforce and support the physician/patient relationship.
For patients who are traveling from out of town to receive treatment at Rose, our nurse navigators can help patients and family members get special deals at area hotels. Additionally, for all patients having surgery at Rose, we offer convenient online pre-registration through the MyHealthOne patient portal, saving you time on the day of surgery.
Knowledge is power, and we know patients do their research and want to be part of their care strategy. We provide education through many channels, from the initial consultation with a surgeon to ongoing support from our nurse navigators, including a detailed patient guidebook to educate, inform and empower our patients.
Treating breast cancer
As part of the Sarah Cannon Cancer Institute, the Colorado Total Breast Health program is part of a global cancer network providing cutting-edge care with the most advanced resources. We work as a multidisciplinary team to create treatment plans that are designed to meet the unique needs of each patient.
We believe in teamwork. Each week, we gather experts from all disciplines related to cancer care and discuss treatment plans for each patient. Specialists from surgery, medical oncology, radiation oncology, genetic counseling, nursing, physical therapy, imaging, pathology, nurse navigation and case management are present to discuss treatment and care for individual patient cases to develop the best treatment plan possible.
The treatment plans created include one or more of the following:
Surgery is generally considered to be the first option when treating breast cancer. Our expert Sarah Cannon surgeons offer an array of options to treat breast cancer, including:
- Mastectomy: simple or total
- Double mastectomy
- Modified radical mastectomy
- Nipple-sparing mastectomy
- Skin-sparing mastectomy
Wire needle localization
For all patients receiving a lumpectomy and most patients receiving a mastectomy, your radiologist will place a small wire into the area of abnormality before surgery. This procedure is important to help your surgeon and pathologist correctly identify the area of abnormality during surgery. This procedure lasts about 20 to 40 minutes and the patient is provided a local anesthetic to numb the area. To confirm the proper placement, a mammogram is conducted when the wire is in place.
Women who decide to have a breast-sparing lumpectomy as part of their cancer treatment may select to undergo an oncoplastic procedure called a breast reduction lumpectomy, through a unique form of cancer surgery combining both surgery to remove cancerous tissue and reconstructive surgery. During a breast reduction lumpectomy, a plastic surgeon works alongside the breast surgeon. The goal of the surgery is to remove the cancerous tissue and perform a breast reduction. Women may choose this option to achieve postsurgical symmetry between the affected breast and non-affected breast for an aesthetic reason or for another health reason. The surgeons work together to ensure the patient achieves excellent health and cosmetic outcomes.
Minimal scarring surgical technique
At Rose, our surgical team is proud to offer breast surgery using advanced approaches that result in minimized visible scarring. These approaches can be used in nipple-sparing mastectomies and lumpectomies.
This approach uses only a single incision to remove cancerous tissue made in an inconspicuous area to minimize visible scarring. This approach allows surgeons to preserve a natural-looking breast by sparing the nipple, areola, and surrounding tissue. Patients who undergo this approach are also at no higher risk of recurrence than patients who undergo any other type of technique.
Our surgeons are able to perform breast cancer procedures using this technique with better safety, efficiency, and precision while optimizing clinical and aesthetic outcomes for patients. This procedure can have a positive impact on patients’ psychological and emotional recovery.
Qualifications for this advanced technique depend on a patient’s tumor size and location, breast shape, and size, and the surgeon’s training.
Sentinel node biopsy
The sentinel nodes are the most likely to have cancer in them if your cancer has spread to the nodes. These lymph nodes will be removed during surgery if they have become affected by the cancer. Prior to the procedure, a radioactive iodine injection will be administered to the nipple. The dye will identify the sentinel nodes to your surgeon by following the drainage path.
Wire-free breast surgery
Most women with early-stage breast cancer choose to undergo breast-conserving surgery, rather than a full removal of the breast. During this surgery, the surgical team is concerned first with removing all the tumor and next with conserving as much healthy breast tissue as possible. Rose surgeons are now able to conserve healthy tissue in an easier, more convenient way using a wire-free radar localization system.
Radar localization involves placing a tiny device the size of a grain of rice into the tumor through imaging-guided needle placement, typically mammography or ultrasound. Patients will not feel the device and are able to resume normal activity following the placement. The device is inactive until it is activated in the operating room when your surgeon uses safe, non-radioactive radar waves to locate and remove the tumor and device.
Benefits of radar localization include:
- The ability to place the device on a separate day, increasing convenience and lessening patient anxiety
- The device is not externally visible after placement and will not restrict daily activities.
- Placement beforehand may minimize wait time on the day of surgery.
- It provides guidance for precise tumor localization, which helps increase the likelihood of complete tumor removal and helps reduce the chances for a second surgery.
- The surgeon can plan the incision during surgery, which may allow for less tissue removal and thus better cosmetic results
- Qualification for surgery using the wire-free system depends on the patient’s medical history, tumor size, and location and breast shape and size.
We know that the look of a woman’s breasts after undergoing breast cancer treatment is an important element of her overall healing. In addition to excellent outcomes for patients medically, our team works with our patients to provide the right reconstructive surgery option for her. Some reconstruction techniques are performed at the same time as the cancer treatment surgery or may be performed separately depending on diagnosis. Our Colorado Total Breast Health team’s reconstructive expertise includes:
- Breast Implant Removal
- Implant-based Reconstruction
- Reduction Lumpectomy Free-
- Flap (DIEP Flap) Reconstruction
- TRAM Flap Reconstruction
- Latissimus Flaps
Radiation therapy is often a vital component of the breast cancer treatment plan. These treatments require careful planning and extreme precision by our expert Sarah Cannon physicians to not only destroy cancerous cells but to do so while sparing healthy tissue and surrounding vital organs as well as minimizing impact on the body and patient’s life. Our team is helping to lead the way for new procedures and technology in breast cancer radiation. Treatments include:
- External Beam Radiation
- Accelerated Partial Breast Irradiation
- Hypofractionated Radiation Therapy
- Prone Breast Radiation Therapy
- Deep Inspiration Breath Hold
- Intraoperative Radiation Therapy (IORT)
In concert with surgery and radiation therapy, many breast cancer patients may require medical oncology options to eradicate cancer more fully. Our team of expert medical oncologists may employ one or more of the following options:
- Hormone therapy
- Targeted therapy
- Scalp cooling/hair loss prevention
- Staging and lymph node involvement
High-risk support and research
- Genetic testing and counseling: Our genetic counselors can meet with you to discuss your risk; the counselor may recommend a simple blood draw to learn more about your risk.
- Risk reduction: If you are at a higher risk for breast cancer due to family history or your own medical history, our team can work with you to help reduce your risk.
- Breast cancer research and clinical trials: As a part of Sarah Cannon Cancer Institute, we have access to the latest research and clinical trials.
- Patient financial counseling
- Advance care planning
- Social workers
Our care doesn’t end when the treatment cycle concludes. We build relationships with our patients that last well into survivorship. Our oncology nurse navigators work with each of their patients to create individualized survivorship care plans, a long-term plan for survivorship that provides patients and their loved ones with additional information, resources and tools to help successfully transition to life after cancer.
Life after breast cancer support group
Our nurse navigators have created a safe, compassionate platform for patients diagnosed with breast cancer. The group meets monthly to learn about how to thrive after a breast cancer diagnosis. They share ideas, resources and create a community that will support participants throughout their journeys and into survivorship. Talk to your oncology nurse navigator to get connected.
About Sarah Cannon Cancer Institute
Rose 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 askSARAH's website.