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Conditions

At Cherokee Breast Care, we’re here for you every step of the way. Whether you're seeking answers about breast changes, managing a benign condition, or navigating a breast cancer diagnosis, our compassionate team provides personalized diagnostic, treatment, and ongoing care for all patients—women and men alike. Your health and peace of mind are our top priorities.

Breast Cancer

Diagnosis
Breast cancer is diagnosed through a biopsy, where a small tissue sample is taken to confirm the presence of cancer cells. This procedure is typically done if an abnormal area is seen on a mammogram, ultrasound, or during a physical exam.

Within 48–72 hours, a pathology report will identify the type of cancer. Additional tests determine if the cancer responds to hormones (estrogen and progesterone) or involves the HER2 gene, which helps guide your treatment plan.

Further imaging, such as a breast MRI or specialized scans (CT or PET), may be recommended to understand the cancer’s size, location, and whether it has spread.

Treatment
Every treatment plan is customized to fit your unique needs, preferences, and medical situation. Our expert team includes Dr. Strickland (breast surgeon), medical oncologists, radiologists, radiation oncologists, and plastic surgeons working together to provide comprehensive care.

  • Surgery: Options include lumpectomy, mastectomy, and lymph node procedures. Dr. Strickland will explain each approach and help you choose the best path forward.
  • Chemotherapy: May be recommended before or after surgery to target cancer cells.
  • Radiation therapy: Most lumpectomy patients and some mastectomy patients benefit from radiation to reduce recurrence risk.

Holistic Support
Your care doesn’t stop at treatment. Northside Hospital Cancer Institute offers:

  • Physical therapy to support recovery.
  • Nutrition counseling to keep you strong.
  • Support groups to connect with others.
  • Additional therapies to help you heal emotionally and physically.

Breast Lumps or Masses

Diagnosis
Discovering a lump in the breast can feel concerning, but we’re here to guide you through every step. Lumps may be found during self-exams or by a health care provider. To better understand the lump, we often recommend:

  • Mammogram: Captures detailed images of the breast tissue.
  • Ultrasound: Especially useful for women with dense breast tissue.
  • MRI: Sometimes used, particularly for those with a history of breast cancer.

If the lump doesn’t appear to be a simple fluid-filled cyst, a needle biopsy is typically performed. This quick procedure collects a small tissue sample for evaluation by a pathologist, who determines if the lump is benign, suspicious, or cancerous.

Treatment
Treatment depends on the diagnosis:

  • Benign (non-cancerous) lumps, such as fibroadenomas, may be monitored, removed, or treated with follow-up imaging.
  • Indeterminate lumps require additional tissue sampling for a more accurate diagnosis.
  • Cancerous lumps are addressed with a personalized treatment plan based on the lump’s size, lymph node involvement, and other characteristics.

Surgical options may include:

  • Lumpectomy: Removing the lump while preserving the breast.
  • Mastectomy: Removing the entire breast.
  • Lymph node procedures: Checking for cancer spread with a sentinel or axillary lymph node biopsy.

Click here for more information about these procedures.

Breast Cysts

Diagnosis
Breast cysts are fluid-filled sacs that often feel like smooth lumps under the skin. Some women have a single cyst, while others may have multiple. While they are usually harmless, it can be hard to tell a cyst from a solid lump during a physical exam. To confirm a cyst, we typically use:

  • Ultrasound: Provides a clear view of the cyst’s size and characteristics.
  • Mammogram: Often recommended for women over 40 or those who haven’t had a mammogram in the past year.

Treatment
Treatment depends on the cyst’s appearance and whether it’s causing discomfort:

  • For painful cysts: A simple procedure called aspiration is performed to drain the fluid using a thin needle, guided by ultrasound.
  • For recurring or complex cysts: If the cyst comes back, has unusual fluid, or appears complex, a surgical biopsy may be recommended.
  • For simple, painless cysts: No immediate treatment is needed, but follow-up exams or imaging may be suggested to monitor changes.

Nipple Discharge

Nipple discharge is when fluid comes from the nipple, often noticed when changing clothes or as dried fluid inside your bra. This can happen without any pressure or squeezing of the breast. While nipple discharge is commonly caused by benign (non-cancerous) conditions, it’s important to get it checked.

Common causes of nipple discharge:

  • Papillomas (non-cancerous growths in the ducts)
  • Duct ectasia (widening of the ducts)
  • Pregnancy or hormonal changes
  • Certain medications

Diagnosis
The first step in diagnosis is a thorough physical exam and review of your health history. If needed, your provider will arrange for imaging tests, such as:

  • Mammogram
  • Breast ultrasound

If necessary, a special test called a ductogram may be used to examine the milk ducts. This involves injecting contrast dye into the duct system to help highlight any issues during X-rays.

If any abnormalities are found, a needle biopsy may be recommended to obtain tissue for further testing.

Abnormal Mammogram

Diagnosis
If your mammogram shows an abnormality, the radiologist will compare the images to any previous mammograms, if available. To get more details, additional images such as a diagnostic mammogram or breast ultrasound may be taken.

If the abnormality hasn’t been biopsied before or is new, a biopsy is often recommended. A biopsy is a simple procedure where a small tissue sample is taken using a needle. This is done while the breast is numbed, so you’ll be awake during the process. The biopsy may be guided by a stereotactic mammogram or ultrasound to precisely target the area of concern.

Treatment
Once the biopsy results are in, your treatment plan will be based on those findings:

  • Benign (non-cancerous) results: Follow-up imaging, like a repeat mammogram in 6–12 months, may be scheduled.
  • Discrepancy between biopsy and imaging: If the biopsy doesn’t match the imaging, a surgical biopsy may be needed to take another sample.
  • Cancer (malignant) diagnosis: If cancer is detected, Dr. Strickland will discuss treatment options, which may include a lumpectomy, mastectomy, and possible lymph node procedures.

Click here for more information about these procedures.

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