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Article Category: Highlights

A Candid Talk About Your Breasts

And Why You Shouldn’t Avoid Mammograms

Published on October 12, 2023

Last updated 12:32 PM October 18, 2024

A group of female providers chatting

Over the years, advice about breast self-exams and breast cancer screenings has changed. So what exactly should you be doing to make sure you’re staying your healthiest? We brought together a panel of women’s health experts to discuss the best strategies to keep tabs on your breast health—and who to talk to if you’re diagnosed with breast cancer.

Headshots of breast cancer panelists

I do breast self-checks every month. Why do I need a mammogram too?

Dr. Paula Greaves, MD, OBGYN, Wellstar chief Women's Health officer: Unfortunately, 1 in 8 women will develop breast cancer in their lifetime, so early detection is key. We have shown over the years that the sooner we detect breast cancer, the more successfully it can be treated. Survival has increased significantly since we started finding breast cancer earlier—before there are symptoms, such as feeling a lump during a self-exam.

Mammograms are essential for early detection. It’s recommended that women start getting mammograms at age 40. However, if you have a family history of breast cancer or other risk factors, your gynecologist or primary care provider may recommend starting earlier and will help you create a personalized screening plan. There are some risk factors that women cannot change, such as genetics, but there are some ways women can lower their risk, like quitting smoking, eating a healthy diet and exercising regularly. Wellstar offers 16 mammography locations, and our patients have state-of-the-art technology on their side. We offer high-resolution breast screening, including 3D mammograms.

Women should continue not only getting annual mammograms, but also seeing their gynecologist or primary care provider for regular breast exams. Women should also be aware of physical changes within their bodies, including breast changes. Changes in the texture of the skin or a lump or pain in the breast should always be checked out by their healthcare provider.

Margie Apacible-Mancao, MSN, RN, CBCN, nurse navigator: I am so passionate about breast cancer screening—every opportunity I have I tell patients to get a screening mammogram when they’re of age. Tell someone in your circle that you’re going, then they’ll tell someone in their circle and the circle gets wider so more people will get screened.

Does it mean I have cancer if the doctor recommends a biopsy?

Dr. Sujatha Hariharan, MD, medical oncologist: When a mammogram detects an abnormality, a biopsy might be indicated. Many breast biopsies will be non-cancerous such as fibroadenomas.  

If cancer is found on a breast biopsy, there are several parts of the pathology result that the care team will utilize to make a treatment plan. For example, the presence of estrogen and progesterone receptor positivity allows the potential for hormone therapy as part of the treatment plan. The HER-2 gene is also tested for and if that is present and positive, it allows for medication directed at the HER-2 gene to be given along with chemotherapy.  

Sequencing of the various treatments for breast cancer—surgery, chemotherapy, radiation and hormone therapy—will be determined as a collaborative effort between the breast surgeon and medical oncologist.

If I’m diagnosed, who should I talk to next?

Margie: The anxiety of not knowing their diagnosis or what’s next is one of the hardest parts. At Wellstar, patients have access to a nurse navigator on the day they are recommended to have a biopsy. We make an appointment with the specialists as quickly as possible because just knowing that someone is helping them get to the next step and get that appointment fast dials down their stress level. 

Dr. Karen Xu, MD, radiation oncologist:
If you are diagnosed with breast cancer, you will need to see a breast surgeon first to discuss your surgery options—lumpectomy or mastectomy; a radiation oncologist to discuss the duration of radiation treatment and whether lymph nodes should be included in the target; and a medical oncologist about whether endocrine therapy or chemotherapy is indicated and the timing of systemic therapy. Patients who desire reconstruction after mastectomy will discuss with a plastic surgeon the type and timing of reconstruction they want.


Schedule a mammogram

Find a breast imaging location near you online or call (678) 581-5900.

Tags

Sujatha Hariharan Paula Cecilia Greaves Karen Mann Xu
Breast Cancer Womens Health Cancer Care
Related Articles
Illustration of baseball with ribbon and bats. Text reads "Strike out cancer"

Highlights

Commemorate Cancer Survivors Day with Wellstar

Wellstar supports people with cancer throughout their journeys, from early screenings to diagnosis to treatment. But our encouragement and dedication to delivering world-class, compassionate care doesn’t end in remission.

Across our system, Wellstar honors the bravery and strength of survivors every day, rejoicing in each milestone. This National Cancer Survivors Day, June 1, 2025, we are proud to pay tribute to the people who have conquered cancer and offer hope to those still fighting. This year’s Cancer Survivors Day theme—Strike Out Cancer—exemplifies our commitment to being a steadfast source of encouragement for cancer survivors and fighters across Georgia.

“On Cancer Survivors Day, we reflect on our patients’ journeys and cherish victories over cancer. We also offer compassion and support for people currently fighting cancer, so they and their loved ones know they’re not alone,” said Wellstar Director of Oncology Professional Practices Melissa Higdon.

Several Wellstar facilities will host events—and you can be a part of the celebration!

 

Northwest Georgia Oncology Centers in Cartersville
June 5, 2025
10 AM to 3 PM
100 Market Place Blvd., Cartersville
Contact Mary Ellen Smither at [email protected] or (678) 858-1146.

Wellstar Cobb Medical Center
May 30, 2025
12 to 2 PM     
4040 Hospital West Drive, Austell
Behind the building in the garden and parking lot area
Contact Ashley Dapremont at [email protected] or (470) 732-4523.

Wellstar Douglas Medical Center
June 7, 2025
11 AM to 2 PM
8954 Hospital Drive, Douglasville
Surgical services lobby
Contact Diane Harris at [email protected] or (470) 644-5411.

Wellstar Kennestone Regional Medical Center
June 7, 2025
11 AM to 2 PM
320 Kennestone Hospital Blvd., Marietta
First floor
Required RSVP, contact Nancy Page at [email protected] or (470) 793-7470.

Wellstar North Fulton Medical Center
June 1, 2025
2 to 4 PM
3000 Hospital Blvd., Roswell
Main lobby in hospital
Contact Sarah Bentley at [email protected] or (770) 751-2556.

Wellstar Paulding Medical Center
June 1, 2025
144 Bill Carruth Parkway, Hiram
Second floor auditorium
Contact Kellie Mitchell at [email protected] or (470) 644-8106.

Wellstar Spalding Medical Center
May 28, 2025
12 to 2 PM
Drive-thru event
608 South 8th St., Griffin
Women’s Center
Contact Sherry Connell at [email protected] or (470) 935-5526.

Wellstar West Georgia Medical Center
June 6, 2025
10 AM to 12 PM
111 Medical Drive, LaGrange
Enoch Callaway Cancer Center
Contact Stephanie Hand at [email protected].

Learn more about cancer care at Wellstar.

Keep reading
Healthcare leaders and providers breaking ground for the new cancer center being built at Wellstar Spalding Medical Center

Newsroom

Wellstar Expanding Cancer Care in Spalding County

At Wellstar Spalding Medical Center, we are your dedicated healthcare partner—putting you at the center of your cancer care and helping you navigate with clarity, hope and compassion. That’s why we’re proud to expand our medical oncology and infusion services to better serve our community.

The state-of-the-art cancer care facility promises greater access to advanced cancer treatments and improved convenience for patients in the Spalding community and surrounding areas.

Keep reading
Exterior of Wellstar Kennestone Hospital, NARC and Wellstar logos

Newsroom

Wellstar Kennestone Regional Medical Center Renews Accreditation for Rectal Cancer Program

Wellstar Kennestone Regional Medical Center has earned another three-year accreditation from the National Accreditation Program for Rectal Cancer (NAPRC), a quality program of the American College of Surgeons. This accreditation demonstrates our commitment to providing personalized, high-quality cancer care close to home for patients in Georgia.

To achieve voluntary NAPRC accreditation, a rectal center must demonstrate compliance with the NAPRC standards addressing program management, clinical services and quality improvement for patients. Centers are required to establish a multidisciplinary rectal cancer team that includes clinical representatives from surgery, pathology, radiology, radiation oncology and medical oncology.

At Wellstar, rectal cancer patients have a multidisciplinary team on their side through every step of treatment. Each patient works with a nurse navigator to schedule appointments with specialists. Patients meet with a medical oncologist, as well as a surgical oncologist or colorectal surgeon. Imaging and lab tests are reviewed by a multidisciplinary board of rectal cancer physicians, efficiently providing patients with input from several experts in cancer care. During the course of treatment, that multidisciplinary board will continue to follow the patient and discuss the best next steps, tailoring care to fit each patient’s individual needs.

Additionally, the program at Wellstar Kennestone met standards addressing the clinical services that the rectal cancer program provides, including Carcinoembryonic Antigen (CEA testing), Magnetic Resonance Imaging (MRI) and Computerized Tomography (CT) imaging for cancer staging, which allow patients to start treatment within a defined timeframe. Rectal cancer programs accredited by the NAPRC undergo a site visit every three years and are also accredited by the American College of Surgeons Commission on Cancer.  

“Our patients are surrounded by a team of experienced rectal cancer experts who provide the highest level of personalized care,” said Wellstar Surgical Oncologist Dr. Sahir Shroff, who serves as the rectal cancer program chair.  “We are proud to be the first medical center in metro Atlanta to receive this important accreditation. Our pioneering efforts to adhere to the most rigorous standards and combine the latest technologies and techniques help us achieve excellence in rectal cancer care for our patients.”

Accreditation by the NAPRC is granted only to those programs that are committed to providing the best possible care to patients with rectal cancer. The NAPRC provides the structure and resources to develop and operate a high-quality rectal center. Accredited programs follow a model for organizing and managing a rectal center to ensure multidisciplinary, integrated, comprehensive rectal cancer services. Wellstar Kennestone earned its first accreditation in 2022.

Keep reading
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