Breast cancer is the most common cancer in women. Two-thirds of women with breast cancer are over 50, the rest are typically between 39 and 49. Breast cancer is usually very treatable if detected early.
Emerson Hospital’s breast cancer services are provided through the partnership of the hospital’s Breast Health Center and Mass General Cancer Center at Emerson Hospital - Bethke, which combines expert diagnostic and cancer specialists and state-of-the-art technology in a convenient, comfortable setting. The Cancer Center provides the latest, highest-quality treatment close to home and family.
About the Cancer Center
Emerson Hospital offers top-notch, patient-oriented cancer care in a community setting: the expertise of highly skilled oncology specialists, the latest technology, the ease of receiving treatment in the community and guaranteed easy access to your health care team. Emerson’s close collaboration with Boston’s top cancer programs means you don’t have to choose between downtown and close to home.
Though it is not possible to prevent breast cancer, studies show that early detection of breast cancer improves long-term survival. Regular mammograms, combined with monthly breast self-exams and an annual breast exam performed by your physician, are the best methods of detecting breast cancer. Your physician will help you evaluate your risk factors for breast cancer and recommend a schedule for screening mammography. Emerson Hospital offers five new, cutting-edge digital mammography machines that provide the largest fields of view available.
Breast Health Screening and Cancer Diagnosis
The Breast Health Center at Emerson offers screening and diagnostic mammography at locations in Concord and Westford in facilities designed for comfort, convenience and privacy. Our 100% digital imaging is augmented when necessary by ultrasound, breast MRI, and other imaging modalities. Diagnosis of most breast problems can be made with stereotactic or ultrasound-guided needle biopsy—an accurate and less invasive method that is available at the Concord Breast Health Center office.
Staff members provide personal attention, technical expertise and conscientious follow-through during and after your examination. Computer-aided detection allows the equipment’s software to perform its own read, providing another degree of added confidence.
Other Diagnostic Tools
If cancer is diagnosed, sophisticated methods of imaging can reduce the need for exploratory surgery and help cancer specialists develop individualized treatment plans for patients. The Cancer Center offers advanced diagnostic imaging services, including:
- Bone scans
- Computer-assisted tomography (CT)
- Fine needle aspiration
- Magnetic resonance imaging (MRI)
- Breast MRI
- Image-guided biopsies
- Specific tumor-seeking scans
- PET/CT (positron emission tomography/computer-assisted tomography)
Emerson Hospital’s breast imaging services are:
- Accredited by the American College of Radiology
- Recognized by the National Alliance of Breast Cancer Organizations
- Approved and recommended by the American Cancer Society and the National Cancer Institute
- Licensed by the Commonwealth of Massachusetts and the Food and Drug Administration
- Accredited by the American College of Radiology, Radiation Control Program (Mass Department of Public Health)
- Accredited by the American College of Radiology for breast sonography
Treatment at the Cancer Center: Complete, convenient and personalized
Emerson Hospital’s philosophy of care is to build a multidisciplinary team around the patient—one that includes the primary care physician, diagnostic specialists, cancer specialists and oncology certified nursing staff. Care is well coordinated among team members, who meet throughout the week to discuss diagnosis and treatment planning for specific patients. Routinely, experts from the area’s leading institutions meet with Bethke oncologists to discuss specific patient cases. The extended team at Emerson includes the full spectrum of support services, including social workers, nutritionists, physical therapists, home care and pain management specialists and integrative therapy practitioners. At the Cancer Center, patients have easy access to their physicians and other providers during and after treatment, all in the comfort of a community setting.
Surgery often plays a vital role in cancer diagnosis and treatment. The surgeons at Emerson’s Cancer Center have extensive experience treating breast cancer. From biopsies to cancer surgery to plastic and reconstructive surgery, Emerson’s surgeons are committed to performing the most minimally invasive procedures possible.
Emerson’s experienced medical oncologists specialize in the medical treatment of breast cancer. They help guide the diagnosis, treatment plan and overall care for patients. Medical oncologists prescribe chemotherapy, hormone therapy and/or biotherapy for patients who require it. Emerson’s medical oncologists have close working relationships with colleagues at prominent Boston cancer programs. Emerson patients have access to the latest treatments available through cancer clinical trials.
Surgeons work closely with Emerson’s expert anesthesiologists, who provide clinical anesthesia services for patients. Available at the hospital 24 hours a day, anesthesiologists also consult on pain management for those with chronic pain.
Chemotherapy and Infusion Services
Chemotherapy is an important part of many cancer treatment plans. Advances in chemotherapy treatment are making this therapy more precise and targeted. The Cancer Center’s outpatient chemotherapy infusion suite offers the most advanced therapy in a new, state-of-the-art facility staffed by medical oncologists and specially trained oncology nurses. In addition, patients admitted to Emerson Hospital now have access to the Naka Infusion Center, which provides a suite dedicated to infusion therapies designed with patient safety, comfort and privacy in mind. Family members or friends are welcome to accompany patients during treatment.
Radiation therapy is an invaluable cancer-fighting therapy and is usually given once a day over many weeks, so convenience and ease-of-access to the treatment facility is critical. The Massachusetts General Hospital Department of Radiation Oncology at Emerson Hospital provides all of this. The joint program includes the most up-to-date and highly accurate treatment and planning technologies available at the major downtown hospitals in one convenient location—at the Cancer Center in Concord, Mass. Recent advances in radiation treatment which are available to Emerson patients include:
- 3-D Conformal Radiation Therapy; CT-scan guided treatment planning, which enables the physicians to pinpoint the precise tumor location using an on-site CT scan.
- Intensity-modulated radiotherapy (IMRT) so the physicians and physicists can "sculpt" radiation beams around the tumor— thus avoiding unnecessary radiation to normal tissues and structures.
- Image-Guided Radiation Therapy: Imaging tools within the Linear Accelerator (treatment machine) that enable precise re-positioning of the patient from one treatment session to the next.
Today, cancer treatment is tailored to each patient’s tumor. Pathologists play an important role in diagnosing cancer and identifying attributes about each tumor that help oncologists design the most effective treatment plan. Emerson’s pathologists have access to the most cutting-edge molecular tests available to aid in accurate diagnosis.
Genetic Testing and Counseling
Several types of cancer are known to have a genetic component. Emerson provides genetic screening and counseling for patients who want to know their cancer risks.
The ability to perform genetic testing to determine if a patient carries a known cancer gene is a significant breakthrough in cancer management. Patients at genetic risk for cancer can take steps to prevent cancers from occurring, or increase screenings to make sure they are found at the earliest, most treatable stages. Understanding the genetic causes of cancer is also leading to the development of customized, targeted cancer therapies. As more cancer genes are identified, more patients will benefit. Genetic testing also makes it possible to analyze a tumor’s DNA in order to determine whether or not a patient is at high or low risk for recurrence. Patients at low risk for recurrence may not require chemotherapy.
Generally, women who are diagnosed with breast cancer are offered genetic testing if they are younger than 50 when diagnosed or have a family history that suggests they could be positive for a mutation in either the BRCA1 or BRCA2 gene. The genes are associated with lifetime risks of 56–87% for developing breast cancer, 27–44% for developing ovarian cancer and 2–4% for developing pancreatic cancer. Men with these mutations have an increased risk of breast, pancreatic and prostate cancer.
An Emerson medical oncologist oversees the genetic testing service and works with patients to address the issues that testing can present. Those who are found to be positive for the BRCA1 or BRCA2 gene need to consider how to best prevent a future cancer diagnosis given their increased risk, and they must decide whether to tell family members about the gene mutation so that they can decide whether or not to be tested.
Preventive treatment options for those with one of the genes include surgical removal of both breasts (prophylactic mastectomy) and both ovaries, or intensive surveillance—multiple screenings for breast cancer and ovarian cancer throughout the year.
Over the past 15 years, clinical trials have been an important part of the comprehensive cancer program at the Cancer Center. The decision to take part in a clinical trial is very personal. You should talk to your physician and consider the risks and benefits of a study before agreeing to participate.
Integrative therapies, also known as complementary therapies, can be very effective in addressing nausea, pain and fatigue and in bolstering the immune system. Emerson patients who are interested in combining acupuncture, yoga, Reiki, herbs or other integrative therapies with their cancer treatment are encouraged to speak with their physician, who can make a referral, including to a certified, on-site acupuncturist.
Support Services and Groups
The Center for Sports Rehabilitation and Specialty Services helps patients with physical, occupational and speech therapy needs during and after treatment. Specific to breast cancer, therapists are trained to evaluate the early signs of lymphedema, often successfully minimizing this complication. Emerson’s Home Care department has specialists who assist with support services that may be needed in the home, and care coordination if a Hospice referral is desired. Emerson’s Social Work department provide specialists who help to coordinate and integrate support services at any time from initial diagnosis, through treatment and after. Practitioners from all of the support services work collaboratively with our medical oncology teams to provide the best of care. The Bethke Cancer Center is dedicated to its patients and continues to provide care and support after completion of active treatment through survivorship programs.
Emerson Hospital offers breast cancer support groups through an affiliation with the Virginia Thurston Healing Garden in Harvard, MA. Please call 978-456-3532 or visit www.healinggarden.net for more information. A monthly cancer support group meets at Emerson Hospital and is open to all men and women with any diagnosis of cancer. For more information, call Emerson’s Social Work Department at 978-287-3189. In addition, a spousal bereavement group meets monthly at Emerson. For more information call 781-290-4000.
Emerson also offers a wide range of community health and wellness programs and classes that can help participants learn about cancer prevention and early diagnosis strategies or help those with cancer, their caregivers or family manage the stress associated with the illness. A variety of stress reduction programs use approaches including mindfulness training, yoga and meditation, tai chi, Reiki and Qigong. Another program teaches those who have completed cancer treatment nutrition strategies for preventing cancer recurrence.
Emerson’s Lund Community Health Library offers information that can help individuals understand and cope with the diagnosis of a medical condition and learn about the latest treatment methods.
The Mass General Cancer Center at Emerson-Bethke brings together specialists from Emerson Hospital, Massachusetts General Hospital, Lahey and Brigham and Women's Hospital, to provide the latest, highest-quality cancer treatment close to home and family. Through partnerships with the American Cancer Society, and many regional and national cancer support organizations, the Cancer Center brings support programs, education, transportation and resources to patients and their families.