[{"_id":"project-settings","settings":{"translateMetaTags":true,"translateAriaLabels":true,"translateTitle":true,"showWidget":true,"isFeedbackEnabled":false,"fv":1,"customWidget":{"theme":"custom","font":"rgb(255,255,255)","header":"rgb(0, 83, 160)","background":"rgba(9, 145, 184,0.8)","position":"right","positionVertical":"bottom","border":"rgb(204, 204, 204)","borderRequired":false,"widgetCompact":true,"isWidgetPositionRelative":false},"widgetLanguages":[{"code":"es","name":"Español"},{"code":"fr","name":"Français"},{"code":"pt","name":"Português"}],"activeLanguages":{"es":"Español","en":"English"},"enabledLanguages":["en","es"],"debugInfo":false,"displayBranding":true,"displayBrandingName":true,"localizeImages":false,"localizeUrls":false,"localizeImagesLimit":false,"localizeUrlsLimit":true,"localizeAudio":false,"localizeAudioLimit":false,"localizeDates":false,"disabledPages":[],"regexPhrases":[],"allowComplexCssSelectors":false,"blockedClasses":false,"blockedIds":false,"phraseDetection":true,"customDomainSettings":[],"seoSetting":[],"translateSource":true,"overage":false,"detectPhraseFromAllLanguage":false,"googleAnalytics":true,"mixpanel":false,"heap":false,"disableDateLocalization":false,"ignoreCurrencyInTranslation":false,"blockedComplexSelectors":[]},"version":834},{"_id":"en","source":"en","pluralFn":"return n != 1 ? 1 : 0;","pluralForm":2,"dictionary":{},"version":834},{"_id":"outdated","outdated":{"#Google Analytics":1,"#4383 Medical Dr":1,"#Mala traducción":1,"#Angiosarcoma:":1,"#xxx-xxx-xxxx":1,"#Lon S. Smith, MD":1,"#Follow the terms of the notice that is currently in effect":1,"#Our Pledge Regarding Health Information":1,"#How We May Use & Disclose Your PHI":1,"#Make sure that health information that identifies our patients is kept private":1,"#We understand that health information about patients is personal. We are committed to protecting the security of that information, called protected health information (PHI), and to prevent its disclosure without your authorization.":1,"#By law, we are required to:":1,"#Provide you with this notice of our legal duties and privacy practices with respect to PHI":1,"#Privacy Practices at START (NPP)":1,"#Notify you if there is a security breach of protected health information (PHI) except when the PHI is encrypted and is disposed of securely":1,"#This Notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.":1,"#The following categories describe different ways that we use and disclose health information. Within each category, we have provided a list of examples.":1,"#We create a record of the care and services that patients receive from us. We need this record to provide patients with quality care and to comply with certain legal requirements. This notice applies to all records of patient care generated by START Center for Cancer Care, whether made by a physician or by others working in this practice. This notice tells you about how we may use and disclose our patients’ PHI. We also describe rights to the PHI that we keep about patients and explain the obligations we have regarding the use and disclosure of our patients’ PHI.":1,"#Show password":1,"#Anemia":1,"#While there is no guaranteed way to prevent breast cancer, there are steps you can take to reduce your risk. Here are some strategies that may help lower your chances of developing breast cancer:":1,"#Can breast cancer be prevented?":1,"#Your healthcare team, which may include oncologists, surgeons, radiologists, and other specialists, will work together to create a comprehensive treatment plan tailored to your specific needs. This plan may include one or more of the following treatments: surgery, radiation therapy, chemotherapy, hormone therapy, targeted therapy, and immunotherapy.":1,"#Clinical Guidelines and Research: Doctors follow established clinical guidelines and consider the latest research and clinical trial results to recommend the best treatment options.":1,"#Response to Previous Treatments: If you have had prior treatments for breast cancer, your response to those treatments can influence future treatment decisions.":1,"#Personal Preferences: Your treatment preferences, lifestyle, and personal goals are important considerations in developing your treatment plan. Your healthcare team will discuss the pros and cons of different treatments with you.":1,"#Overall Health: Your general health, age, and any other medical conditions you may have play a role in determining which treatments are safe and suitable for you.":1,"#Genetic Factors: Genetic testing may be done to identify specific mutations (e.g., BRCA1, BRCA2) that can influence treatment options and strategies.":1,"#Receptor Status: Tests determine whether the cancer cells have receptors for hormones (estrogen and progesterone) and HER2 protein. This helps decide if hormone therapy or HER2-targeted therapy would be effective.":1,"#Tumor Characteristics: Factors like the size of the tumor, its grade (how abnormal the cells look under a microscope), and whether it has spread to the lymph nodes or other parts of the body are considered.":1,"#Type and Stage of Cancer: The specific type of breast cancer (e.g., hormone receptor-positive, HER2-positive, triple-negative) and its stage (extent of spread) are crucial in deciding the treatment approach.":1,"#Your breast cancer treatment plan is determined based on several key factors to ensure the most effective and personalized approach. Here’s how your treatment plan is typically developed:":1,"#How is my treatment plan determined?":1,"#Autoimmune Reactions: Inflammation of organs, such as the lungs, liver, or intestines.":1,"#Flu-like Symptoms: Fever, chills, and body aches.":1,"#Skin Reactions: Rashes, itching, or blistering of the skin.":1,"#Fatigue: Severe tiredness.":1,"#Fatigue: Persistent tiredness and lack of energy.":1,"#Heart Problems: Potential heart issues, especially with HER2-targeted therapies.":1,"#Skin Rash: Red, itchy, or painful rash, often on the face and upper body.":1,"#Diarrhea: Frequent, loose, or watery bowel movements.":1,"#Mood Changes: Emotional swings or mood disturbances.":1,"#Bone Thinning: Increased risk of osteoporosis and fractures.":1,"#Joint and Muscle Pain: Discomfort in the joints or muscles.":1,"#Hot Flashes: Sudden feelings of warmth, often with sweating and reddening of the skin.":1,"#Nail Changes: Discoloration or brittleness of nails.":1,"#Mouth Sores: Painful sores in the mouth and throat.":1,"#Infection Risk: Increased susceptibility to infections due to lowered white blood cell count.":1,"#Fatigue: Extreme tiredness and weakness.":1,"#Hair Loss: Partial or complete hair loss.":1,"#Nausea and Vomiting: Feeling sick to the stomach or vomiting.":1,"#Lung and Heart Issues: Rare but possible long-term effects on the lungs and heart if they are in the radiation field.":1,"#Breast Swelling: Swelling and tenderness in the treated breast.":1,"#Fatigue: General tiredness and lack of energy.":1,"#Skin Changes: Redness, dryness, itching, or peeling of the skin in the treated area.":1,"#o Numbness: Loss of sensation in the breast or underarm area.":1,"#Scarring: Visible scars where the surgery was performed.":1,"#Swelling: Swelling of the breast or arm, especially if lymph nodes were removed.":1,"#Pain: Discomfort or pain in the breast or chest area after surgery.":1,"#Breast cancer treatments can have various side effects, which vary depending on the type of treatment and the individual. Here are some common side effects associated with different breast cancer treatments:":1,"#What are common side effects for breast cancer treatment?":1,"#Stimulating the body’s immune system to better recognize and attack cancer cells. This approach is still being studied and may be an option for certain types of breast cancer.":1,"#Immunotherapy:":1,"#CDK4/6 Inhibitors: Target specific proteins involved in cancer cell growth and division.":1,"#HER2-Targeted Therapy: For HER2-positive breast cancer, drugs like Herceptin specifically target and inhibit the HER2 protein, which promotes cancer cell growth.":1,"#Targeted Therapy:":1,"#For hormone-receptor positive breast cancer, medications like tamoxifen or aromatase inhibitors are used to block the effect of estrogen or lower its levels in the body, helping to slow or stop cancer growth.":1,"#Hormone (Endocrine Therapy):":1,"#Using drugs to kill cancer cells or stop them from growing. It can be administered before surgery (neoadjuvant chemotherapy) to shrink the tumor, or after surgery (adjuvant chemotherapy) to eliminate any remaining cancer cells.":1,"#Chemotherapy:":1,"#Brachytherapy: Placing a small radioactive source directly inside or near the tumor site.":1,"#External Beam Radiation: Targeting the affected breast or chest wall with high-energy rays to kill cancer cells and reduce the risk of recurrence.":1,"#Radiation Therapy:":1,"#Axillary Lymph Node Dissection: Removing several lymph nodes from the underarm to examine for cancer.":1,"#Sentinel Lymph Node Biopsy: Removing a few lymph nodes to check for cancer spread.":1,"#Mastectomy: Removing one or both breasts, partially (partial mastectomy or segmental mastectomy) or completely (total mastectomy), depending on the extent of the cancer.":1,"#Lumpectomy: Removing the cancerous tumor and a small margin of surrounding tissue while preserving most of the breast.":1,"#Surgery:":1,"#Treatment for breast cancer depends on the stage of the disease, the type of cancer, and other individual factors. Here are the main treatment options:":1,"#What are the different treatment options for breast cancer?":1,"#Metastatic Breast Cancer: The cancer has spread to other parts of the body, such as the bones, liver, lungs, or brain.":1,"#Stage IIIC: Cancer has spread to 10 or more lymph nodes, or to lymph nodes near the collarbone or inside the breast.":1,"#Stage IIIB: The tumor has spread to the chest wall or skin and may have spread to up to 9 lymph nodes.":1,"#Stage IIIA: The tumor is larger than 5 centimeters with spread to 1-3 lymph nodes, or any size with spread to 4-9 lymph nodes.":1,"#Stage IIB: The tumor is larger than 5 centimeters without lymph node spread, or 2-5 centimeters with spread to 1-3 lymph nodes.":1,"#Stage IIA: The tumor is either 2-5 centimeters and has not spread to lymph nodes, or smaller than 2 centimeters with spread to 1-3 lymph nodes.":1,"#Stage IB: Small clusters of cancer cells are found in the lymph nodes, and the tumor is 2 centimeters or smaller, or not present in the breast.":1,"#Stage IA: The tumor is 2 centimeters or smaller and has not spread to the lymph nodes.":1,"#Carcinoma in Situ: Abnormal cells are present but have not spread beyond their original location. This includes Ductal Carcinoma In Situ (DCIS).":1,"#Breast cancer is classified into stages based on the size of the tumor and how much it has spread. Breast cancer is classified into the following stages:":1,"#What are the different stages of breast cancer?":1,"#Early detection through these methods can significantly improve the chances of successful treatment and better outcomes. It is important to follow recommended screening guidelines and consult with your healthcare provider about the best screening plan for you based on your age, family history, and other risk factors.":1,"#Biopsy: If a suspicious area is found, a biopsy is performed by a radiologist to remove a sample of breast tissue. The tissue sample is examined by a pathologist under a microscope. A biopsy is the only definitive way to diagnose breast cancer.":1,"#Magnetic Resonance Imaging (MRI): Breast MRI uses magnetic fields and radio waves to produce detailed images of the breast. It is typically used for high-risk patients, such as those with breast dense tissue and/or a strong family history of breast cancer or known genetic mutations, such as BRCA1 or BRCA2.":1,"#Ultrasound: Breast ultrasound uses sound waves to create images of the breast tissue. It is often used to further evaluate abnormalities found during a mammogram or physical exam, especially in women with dense breast tissue.":1,"#Mammograms: A mammogram is an X-ray of the breast and is the most common screening tool for breast cancer. It can detect tumors that are too small to be felt and identify changes in breast tissue. Regular mammograms are recommended for women starting at age 40-50, depending on individual risk factors and guidelines.":1,"#Clinical Breast Exams: During a clinical breast exam, a healthcare provider checks for lumps or other changes in the breasts and underarms. This exam is usually part of a routine medical check-up.":1,"#Breast Self-Exams: Regular self-examinations help you become familiar with the normal look and feel of your breasts, making it easier to notice any changes. While not a substitute for professional screening, self-exams can help you detect lumps or other unusual changes early.":1,"#Breast cancer can be detected through a combination of self-examinations, clinical exams, and imaging tests. Here are the primary methods used for detecting breast cancer:":1,"#How is breast cancer detected?":1,"#Lymph Node Changes: Swelling or a lump in the lymph nodes under the arm or around the collarbone can be a sign that breast cancer has spread.":1,"#Swelling: Swelling of all or part of the breast, even if no lump is felt, can indicate breast cancer.":1,"#Breast or Nipple Pain: Persistent pain in the breast or nipple that does not go away can be a symptom of breast cancer.":1,"#Nipple Changes: This includes changes such as inversion (turning inward), redness, scaling, or discharge (other than breast milk), especially if it is bloody.":1,"#Patient Testimonials":1,"#Stage 0":1,"#We understand the financial challenges of cancer care. Our dedicated financial counselors work closely with patients to explore resources, reduce costs, and ease the burden of co-pays and healthcare expenses. From insurance guidance to personalized support, we’re here to help you focus on what matters most—your care.":1,"#Stage III":1,"#Stage IV":1,"#Stage I":1,"#Stage II":1,"#Throughout your treatment, your healthcare team will monitor your progress and adjust as needed to ensure the best possible outcome. Regular communication with your medical team is essential to address any concerns and to understand your treatment options and plan.It’s important to discuss potential side effects with your healthcare team before starting treatment. They can help you manage side effects and provide support to improve your quality of life during treatment.The choice of treatment depends on the specific circumstances of the cancer and the patient’s overall health. Your healthcare team will work with you to develop a personalized treatment plan that best addresses your needs and preferences.Understanding the stage of breast cancer helps doctors to determine the best treatment options and predict the likely outcome of treatment. Early detection through regular screenings can help find breast cancer at a more treatable stage.Early detection through these methods can significantly improve the chances of successful treatment and better outcomes. It is important to follow recommended screening guidelines and consult with your healthcare provider about the best screening plan for you based on your age, family history, and other risk factors.":1,"#It’s important to discuss potential side effects with your healthcare team before starting treatment. They can help you manage side effects and provide support to improve your quality of life during treatment.The choice of treatment depends on the specific circumstances of the cancer and the patient’s overall health. Your healthcare team will work with you to develop a personalized treatment plan that best addresses your needs and preferences.Understanding the stage of breast cancer helps doctors to determine the best treatment options and predict the likely outcome of treatment. Early detection through regular screenings can help find breast cancer at a more treatable stage.Early detection through these methods can significantly improve the chances of successful treatment and better outcomes. It is important to follow recommended screening guidelines and consult with your healthcare provider about the best screening plan for you based on your age, family history, and other risk factors.":1,"#Comprehensive Care For Today & Tomorrow":1,"#The choice of treatment depends on the specific circumstances of the cancer and the patient’s overall health. Your healthcare team will work with you to develop a personalized treatment plan that best addresses your needs and preferences.Understanding the stage of breast cancer helps doctors to determine the best treatment options and predict the likely outcome of treatment. Early detection through regular screenings can help find breast cancer at a more treatable stage.Early detection through these methods can significantly improve the chances of successful treatment and better outcomes. It is important to follow recommended screening guidelines and consult with your healthcare provider about the best screening plan for you based on your age, family history, and other risk factors.":1,"#Understanding the stage of breast cancer helps doctors to determine the best treatment options and predict the likely outcome of treatment. Early detection through regular screenings can help find breast cancer at a more treatable stage.Early detection through these methods can significantly improve the chances of successful treatment and better outcomes. It is important to follow recommended screening guidelines and consult with your healthcare provider about the best screening plan for you based on your age, family history, and other risk factors.":1,"#It’s important to note that these symptoms can be caused by conditions other than breast cancer. However, if you notice any of these changes, it’s crucial to see a healthcare provider promptly for evaluation. Early detection of breast cancer can lead to more effective treatment and better outcomes. Regular self-exams, clinical breast exams, and mammograms are key components of early detection.If you have a family history of cancer, particularly in close relatives, it is important to discuss genetic counseling and testing with your healthcare provider. Knowing your genetic risk can help you and your Knowing your genetic risk can help you and your healthcare team make informed decisions about screening and preventative measures.":1,"#The":1,"#National Comprehensive Cancer Network":1,"#Request an appointment":1,"#Partner Organizations":1,"#A group of doctors standing with their arms crossed":1,"#Meet The Experts Behind Your Care":1,"#Request An Appointment":1,"#Your Rights":1,"#Healthy Diet:":1,"#Patient Demographic Form":1,"#Financial Policy Form":1,"#Authorization to Disclose Health Information":1,"#Notice of Privacy Practices Simplified":1,"#Medical Records Release Form":1,"#Health Information Disclosure and Consent Form":1,"#For your convenience, you may download our new patient forms and notices and fill them out to bring with you to your first visit. If you choose not to fill out the forms before your appointment, please arrive 15 minutes early to complete the forms in our office. Have additional questions? Please don’t hesitate to call START at <a ljsid-1=\"\">210-593-5700</a>.":1,"#Invasive Breast Cancer":1,"#Triple Negative Breast Cancer":1,"#Inflammatory Breast Cancer":1,"#Clinic Locations":1,"#Patient Forms":1,"#Targeted Therapy":1,"#Immunotherapy":1,"#Leukemia":1,"#Latest News":1},"version":834}]