The Breast Oncology Division includes experts in surgery, medical oncology, pathology, radiation oncology, radiology, reconstructive surgery, and nursing as well as psychosocial and nutritional support. Being highly focused in breast cancer provides physicians and caregivers the ability to tackle complex cases and optimize the outcome for every patient.

During weekly breast oncology tumor boards, our experts collectively discuss cases in a multidisciplinary approach. This multi-facetted strategy to treat breast cancer in a holistic environment provides each of our patients with customized solutions that will benefit their recovery.

Breast Imaging – Betty Torricelli Institute for Breast Care

In our breast imaging center led by Dr. Gail Starr, we offer routine use of 3D mammography which has been shown to improve the sensitivity of breast cancer detection, even for women with dense breast tissue. 3D mammography has also been shown to reduce the false positive rate. A false positive is having an abnormal mammogram, which requires additional testing, ultrasound or biopsies which are ultimately negative for breast cancer.

The Wellness Center at HUMC offers screening routine 3D mammogram regardless of patient’s age, history or insurance. For a screening appointment, please call 551-996-2222.

Patients with abnormal mammograms can have on-site access to surgeons, pathologists and cytopathologists who can perform an immediate diagnostic procedure (fine-needle aspiration and/or biopsy).  When needed, this biopsy will obviously be performed under guidance with either breast ultrasound, stereotactic core biopsy or MRI-guided biopsy.

Breast Surgery

Breast Surgery is a dedicated subspecialty within the Department of Surgery with highly trained surgeons focusing on the management of benign and malignant breast conditions at HUMC. Together with the imaging center, pathologists and cytopathologists, they will be able to recommend the next step in every situation.

If surgery is needed, our team will offer the most appropriate procedure, including nipple sparing surgery, sentinel lymph nodes biopsy which might help reduce lymphedema and other complications.

Most patients undergo only lumpectomy, but mastectomy is required in some situations. Besides any other additional treatments (chemotherapy, radiation or hormone therapy or combinations) that would be recommended by the multidisciplinary team, patients also have access to on-site surgeons for breast reconstruction.

Our breast surgery team is happy to assist you at the following number: 551-996-8777.

Genetic Counseling

The goal of the genetic counseling program is to provide individual risk assessment for patients at increased risk for developing breast cancer. This includes genetic testing for BRCA1 and BRC1, among other genes, that are associated with breast and ovarian cancers. Based on the individual assessment, the patient will receive a recommendation for additional testing or monitoring, as well as support throughout the process.

For additional information or advice, please contact our genetic counseling team at 551-996-4788.

Medical Oncology

Every patient diagnosed with breast cancer will be referred to the breast medical oncology team for further recommendations. Cases are also collectively discussed every week by all caregivers involved to optimize the treatment plan.

The therapy for breast cancer typically includes chemotherapy, hormone therapy and an increasing number of novel agents, including biological or targeted therapies. Our center routinely evaluates breast cancer patients for molecular features that can help customize therapy, and in some situations allow to forego chemotherapy based on the results of molecular signatures.

Radiation Oncology

Radiation therapy is a treatment that uses high-energy rays or particles that destroy cancer cells. Radiation is often recommended as additional local therapy after surgery to help lower the chance of recurrence. Our center uses a prone breast approach where radiation is delivered on a specially designed table in a position that prevents exposure to heart, lungs and normal tissue.

Radiation can also be used to treat cancer that has spread to other areas, for example, bones or brain. Our center has on-site Gamma Knife technology that is also called radio-surgery and is used to treat with very focused and intense radiation, particularly for lesions in the brain with very minimum risk to nearby tissue and structures.

To contact one of our radiation oncology experts, please call 551-996-2210.

The Breast Oncology Division Team

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DEENA M. ATIEH GRAHAM, MD
Women’s Health – Breast Oncology and Gynecologic Oncology

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TARA BALIJA, MD
Breast Surgery

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MARSON T. DAVIDSON, MD, FACS
Surgical Oncology

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LOREN GODFREY, MD, DABR™
Co-Chief, Head and Neck Oncology and Director, Brachytherapy

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DONALD A. MCCAIN, MD, PHD, FACS
Vice Chairman of JTCC and Co-Chief, Gastrointestinal Oncology and Chief, Surgical Oncology, Cutaneous Malignancy Program

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DONNA MCNAMARA, MD
Co-Chief, Gynecologic Oncology

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LESLIE MONTGOMERY, MD
Chief of Breast Surgery, Co-Chief Breast Oncology

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GAIL E. STARR, MD, MSED
Chief, Breast Imaging

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STANLEY WAINTRAUB, MD, FACP
Co-Chief, Breast Oncology

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MARY JANE WARDEN, MD
Breast Surgery

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Imaging Center
Gail Starr, MD

Pathology

Christopher Koenig, MD

Ciaran Mannion, MD

Nurse Practitioner/Advanced Practice Nurse

Vicki Tuchman, MSN, RN, APN
Krissy Nuccitelli, APN
Marieta Branis, MSN, RN, APN, DNP
Sandy Rozema, MSN, RN, APN
Diane Daniello, MSN, RN, APN, CNS, NP
Carol Rios, MSN, RN, APN, NP-C, CBCN
Luzviminda Dorsett, APN-BC, MSN, RN, OCN

Research Nurses
Aretha Disalvo, BSN, RN, OCN, CCRP

Oncology Nurse Navigator
Paola Massuda, RN, OCN

Registered Dietitian
Rebecca Hirsch, MS, RDN

Social Work Support Services
Anita Vargas, MSW, LSW
Andrea Nudelman, MSW, LCSW, OSW-C

Phone Numbers
Breast Imaging – 551-996-222
Breast Surgery – 551-996-8777
Genetic Counseling – 551-996-4788
Medical Oncology – 551-996-5864
Radiation Oncology – 551-996-2210

Call for an appointment

Hackensack: 551-996-5900
Palisades: 201-464-0008

To reach the extensions of Drs. McNamara and Graham please dial ext. 5811 and for Dr. Waintraub, ext. please dial 5864.