Sandy Fertitta Breast Surgery Institute
PREVITY IS A LEADER IN INNOVATIVE BREAST CARE. OUR GOAL IS TO DIAGNOSE AND TREAT A PATIENT’S BREAST DISEASE WITHIN 14 DAYS OF THEIR INITIAL APPOINTMENT.
Diagnosis
TOOLS FOR DIAGNOSIS
Ultrasound Guided Minimally Invasive Vacuum Assisted 360-degree Breast Biopsy Previty offers the only “single pass” 360-degree minimally invasive breast biopsy procedure in Southeast Texas. Stereotactic Biopsy Breast MRI Breast PET SCANTreatment
TREATMENT STRETAGIES Hidden Scar PREVITY is the FIRST Center of Excellence in Texas certified in the Hidden Scar program. Skin, Nipple Areolar Sparing Mastectomy PREVITY is one of few clinics in the country to offer this highly specialized procedure. Breast Conservation Therapy and Oncoplasty Sentinel Lymph Node Mapping and Biopsy Complete Axillary Lymph Node Dissection Immediate Reconstruction by Highly Trained Plastic Reconstructive Surgeon SAVI Catheter Radiation Therapy
HIDDEN SCAR
Previty is the first surgical clinic in Texas to perform this advanced approach to breast cancer surgery that hides scars, minimizing the daily emotional reminder of a breast cancer diagnosis. Previty is expanding options for women in Southeast Texas with a procedure that effectively treats the cancer while optimizing cosmetic results. Hidden Scar Breast Cancer Surgery allows Previty surgeons to remove the cancerous tissue through a single incision made in an inconspicuous area, preserving the natural shape of the breast while reducing visible scarring. Patients who undergo this approach experience optimal clinical and cosmetic outcomes, and are at no higher risk of recurrence than patients who undergo any other surgical technique.[1]
Hidden Scar Incision options
Hidden Scar Surgical Results
Radiation Therapy
APBI (Accelerated Partial Breast Irradiation)
Accelerated Partial Breast Irradiation (APBI) is a way of delivering targeted radiation to the tissue surrounding the lumpectomy cavity, rather than irradiating the entire breast. For appropriate patients, this radiation treatment cuts the treatment time down from 6-8 weeks to only 5 days.
After your surgeon confirms the breast cancer surgical margins are clear of cancer, he/she places a multi-lumen balloon using ultrasound guidance. This is a well tolerated procedure that only requires local anesthetic and is done in Previty Clinic. You then visit the radiation center for a treatment course lasting 5 days. After this treatment the balloon is easily removed. This is supervised by a radiation oncologist.
SAVI Catheter
Placement
The closed applicator is inserted into the lumpectomy cavity through a single incision. Placement of the applicator can be done at the time of the lumpectomy or as a post-operative procedure.
Expansion
Once the aplicator is placed in the cavity, rotation of the expansion tool deploys the catheters, conforming to the size of the cavity.
Radiation Delivery
The individual catheters are connected to an HDR afterloader for delivery of the radiation source. The multiple catheters offer more flexibility to sculpt the dose based on patient-specific anatomy. With the close proximity of the catheters to the targeted tissue, the radiation dose in each catheter can be modified to protect healthy tissues and organs, such as skin, lung and heart. Typical treatment is twice a day for five days.
Removal
After the final treatment, the applicator is collapsed and removed
[1] Study Finds Nipple-Sparing Mastectomy Does Not Increase Risk of Breast Cancer Recurrence. Accessed on January 28, 2015 from http://www.plasticsurgery.org/news/past-press-releases/2011-archives/study-finds-nipple-sparing-mastectomy-does-not-increase-risk-of-breast-cancer-recurrence.html.
