1. So you have been diagnosed with breast cancer! What's next?
Moving Forward to a Better, Brighter, Future for the Cures
Central Pennsylvania Coalition United to Fight Cancer, CATALYST
Loving Souls and Sweethearts XXII
Cancer Education and Chronic Disease Workshops and Luncheon
Saturday, February 24, 2018
Angela M Soto Hamlin MD FACS
Geisinger Holy Spirit Breast Center

3. PATHOLOGY REPORT
Diagnosis
Grade
Markers

4. Diagnosis: Grade: DCIS Invasive Ductal (no special type) Special types
Mucinous
Papillary
etc
Lobular
Grade:
Low
Intermediate
3 High

5. MARKERS

6. STAGING

7. STAGING T Size N Lymph Nodes M Metastases Grade Markers
Genomic Profiles

8. STAGING

9. TREATMENT RADIATION Brachytherapy External Beam SURGERY
Mastectomy
Total
Partial
Lymphnodes
Sentinel Lymph Node Biopsy
Axillary Dissection
SYSTEMIC THERAPY
Chemotherapy
Hormonal Therapy
Anti Estrogens
Targeted Therapy
Anti Her 2 drugs
Parp inhibitors
CDK4/5 inhibitors
Etc…..

10. TREATMENT Surgery Radiation Systemic Treatment
Surgery Systemic Treatment Radiation
Systemic Treatment
Surgery
Radiation
Systemic Treatment
Surgery
Radiation
Surgery
Systemic Treatment
Radiation