Breast Health Program

Breast Health Program - View Full PDF


University Hospitals Seidman Cancer Center


Jill Dietz, MD, Physician Co-Lead, Breast Surgery,

Paula Silverman, MD, Disease Team Leader, Medical Oncology,

Leila Woehrle, RN, New Patient Access Coordinator (216-844-8988),

Donna Plecha, MD, Director, Breast Imaging (216-844-5330),

Janice Lyons, Director, Breast Radiation Oncology (216-896-6570),

Hannah Gilmore, Director, Breast Pathology (216-286-6587),


For hospital transfers, please call 216-844-1111.

Breast Cancer and Breast Cancer Prevention Services

• Center for Breast Cancer Prevention

o Breast evaluation and risk assessment
o Genetic evaluation
o Design of individualized prevention care plan
o MRI for high risk

• Diagnostic imaging and image-guided biopsies

o Digital and 3-D mammography
o Screening, diagnostic and implant rupture breast MRI
o Diagnostic and screening ultrasound
o Evaluation for patients with increased breast density
o Stereotactic, MRI and ultrasound-guided biopsies
o Walk-in screening mammogram
o Same-day diagnostic mammogram and image-guided biopsy availability

• Surgery

o Diagnostic breast biopsies
o Directed duct excision and ductoscopy for pathologic nipple discharge
o Risk-reducing surgery, including nipple-sparing mastectomy
o Oncoplastic breast surgery
o Definitive breast cancer surgery

• Plastic surgery

o Tissue reconstruction
o Implant reconstruction
o Cosmetic surgery
o Therapeutic lymphedema surgery

• Radiation therapy

o Breast-conserving management
o Partial breast radiation
o Cardiac-sparing techniques
o Only Proton Therapy Center in Ohio
o Palliative radiation

• Medical oncology

o Adjuvant and neoadjuvant chemotherapy and hormonal treatment
o Systemic treatment for metastatic disease
  • Chemotherapy and immunotherapy
  • Hormonal treatment
  • Targeted treatment

• Survivorship program

o End of treatment summary
o Follow-up plan
o Risk reduction
o Health education and awareness
o Wellness
o Long-term follow-up and surveillance for recurrence

• Supportive cancer care

o Nutritional evaluation and support
o Integrative medicine additions and alternatives
o OT/PT and lymphedema care and preventive strategies
o Wellness education and classes
o Finance, social work and psychology support services
o Cardio-oncology

• Pathology

o Expert pathology review
o Immunohistochemistry for breast cancer markers (e.g., androgen receptor)
o Interdisciplinary team integration
o Genomic assays

• Multidisciplinary treatment planning

o Multidisciplinary breast cancer tumor board weekly
o Multidisciplinary genomic tumor board
o Center for Breast Cancer Prevention Case Management Conference
o Radiology/Pathology Consensus Conference for benign breast lesions
o National leadership in clinical pathway development (ASBrS, NAPBC, NCCN, NRG, ARRS)

• Clinical trials

o Extensive portfolio of clinical trials of new treatments
o Personalized medicine with targeted agents determined by genomic testin
o Vaccine and immunotherapy trials
o Proton therapy

About UH Cleveland Medical Center
At the core of University Hospitals’ $4 billion health system is UH Cleveland Medical Center, ranked among America’s best hospitals by U.S. News & World Report. UH Cleveland Medical Center is home to some of the most prestigious clinical and research programs in the nation, including cancer, pediatrics, women’s health, orthopedics, radiology, neuroscience, cardiology and cardiovascular surgery, digestive health, transplantation and genetics. Its main campus includes UH Rainbow Babies & Children’s Hospital, ranked among the top children’s hospitals in the nation; UH MacDonald Women’s Hospital, Ohio’s only hospital for women; and UH Seidman Cancer Center, part of the NCI-designated Case Comprehensive Cancer Center at Case Western Reserve University.