The Breast Center at Simmons Cancer Institute at SIU

Patient Centered: 

Comparison of Breast Health Work-up

Common Breast Care Practice outside SIU Breast Center:

A 55 year old woman detects a lump in her breast on self-exam and makes an appointment with her health care provider which may take several days or a week. 

  TIMELINE TYPE OF VISIT OR PROCEDURE PERFORMED
Step 1 Day 1 Visit with Primary Health Care provider or Obstetrician/Gynecologist
Step 2 up to 1 week Mammography
Step 3 1 or 2 weeks Recall for additional images, breast ultrasound and / or needle core breast biopsy if needed. If results indicate a need for a surgical consultation, an appointment is schedueled.
Step 4 1 or 2 weeks Visit with surgeon
Step 5 up to 1 week Excisional Biopsy in the Operating Room or needle core biopsy
Step 6 within 1 week Visit to surgeon for biopsy results
Step 7 within 1 week If cancerous, return to Operating Room for Mastectomy or Partial Mastectomy. Plastic surgery for reconstruction may or may not be an option in some facilities. When plastic surgery is an option, the time for the surgery may be delayed another 1 or 2 weeks or longer pending the avaliability of the plastic surgeon.
Step 8 3-4 weeks later Appointments are scheduled with the medical and radiological oncologist when the surgery site is healed.

The total time for women to receive services in this scenario is a minimum of 2 weeks. 
The average time is 4 weeks but can take as long as 8 to 12 weeks. 

Model of Care at the Breast Center at SIU: 

A 55 year old woman detects a lump in her breast on self-exam.
Example A:  Woman has had a complete work-up done at an outside facility and referral is made to the Breast Center.  Copies of all mammograms, breast ultrasounds, biopsies, surgical reports and pathology reports are requested by the Breast Center for review prior to the appointment. 

  TIMELINE TYPE OF VISIT OR PROCEDURE PERFORMED
Step 1 Day 1 Consult with breast surgeon.  Plastic surgeon consultation, genetics counseling, further imaging and additional biposies may all be scheduled on this day depending on the reports obtained from the referring facility. 
Step 2 1 or 2 weeks Surgery procedure performed in the Operating Room, when indicated.
Step 3 Within 1 week Multidisciplinary conference held to determine treatment options.  Meet with the medical and radiology oncologists to discuss the treatment options.  Meet with the plastic surgeon, if not previously scheduled, social worker and psychologist when indicated.

Example B:  The woman or her attending physician call the Breast Center to schedule an appointment but no work up has been done.

  TIMELINE TYPE OF VISIT OR PROCEDURE PERFORMED
Step 1 Day 1 Woman is scheduled for a mammogram with immediate interpretation.  If needed, a diagnostic mammogram, Ultrasound or Fine Needle Aspiration (FNA) can be completed on the same day.  Occasionally, if needed, a stereotactic biopsy or ultrasound guided biopsy will also be done on the same day.
Step 2 within 1 week or less Consult with surgeon.
Step 3 1 or 2 weeks or less Surgery procedure performed in the Operating Room, when indicated.
Step 4 within 1 week or less Multidisciplinary conference held to determine treatment options.  Meet with the medical and radiology oncologists to discuss the treatment options.  Meet with the plastic surgeon, if not previously scheduled, social worker and psychologist when indicated.

Comprehensive:

SIU Breast Center offers a wide range of services to address your needs whether physical, emotional or financial.   

Core services at the Breast Center include:

Along with these core services, the Breast Center works cooperatively with Memorial Medical Center and St. John’s Hospital to provide on-site diagnostic services including:

The Breast Center also offers second opinion services including: