[{"_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":false,"overage":false,"detectPhraseFromAllLanguage":false,"googleAnalytics":true,"mixpanel":false,"heap":false,"disableDateLocalization":false,"ignoreCurrencyInTranslation":false,"blockedComplexSelectors":[]},"version":888},{"_id":"en","source":"en","pluralFn":"return n != 1 ? 1 : 0;","pluralForm":2,"dictionary":{},"version":888},{"_id":"outdated","outdated":{"#Angiosarcoma:":1,"#Follow the terms of the notice that is currently in effect":1,"#Our Pledge Regarding Health Information":1,"#How We May Use & Disclose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,"#Fatique":1,"#There are many different types of radiation therapy. The exact type, frequency, and duration of treatment that will be most appropriate and effective for you or your loved one is dependent on a range of factors (cancer type, cancer stage, patient health, treatment goals, etc.). Radiation therapy can be used to reduce symptoms even when cure of the underlying cancer is not possible. Here are the most common forms of radiotherapy in use today:":1,"#About The Side Effects Of Radiation Therapy":1,"#Radiation therapy does come with unpleasant side effects, but they can usually be well controlled or treated. The most common side effects of radiation therapy (but not radiosurgery) include:":1,"#Treating cancer from outside the body using a beam of ionizing radiation has evolved immensely in recent decades. Initially, the beam was pointed directly at the area of the body inside which the tumor was located. It then evolved to conform to the exact shape and size of the tumor (called 3D conformal radiotherapy), a step made possible by the 3D imaging of CT scans. External radiotherapy then evolved into intensity-modulated radiotherapy (IMRT), which made the beam even more conformal to the shape and size of the tumor. Later, image guidance was added to further improve the precision of external beam radiation. External-beam radiation therapy typically lasts 6 to 8 weeks (about 2 months).":1,"#Fighting Cancer With All Types Of Radiation Treatment":1,"#Decrease in white blood cell counts":1,"#Skin reactions (radiation dermatitis)":1,"#External-Beam Radiation Therapy":1,"#Melanoma":1,"#The START Center billing phone number is: <a ljsid-1=\"\">210-593-5222</a>":1,"#Blood Diseases and Disorders We Treat and Manage":1,"#Providing Tailored, Leading-Edge and Compassionate Hematological Care":1,"#Sickle Cell Disease":1,"#Hematology: Advanced, Experienced Care for Blood Disorders":1,"#Von Willebrand Disease":1,"#Deep Vein Thrombosis":1,"#Lymphoma (Hodgkins and non-Hodgkins)":1,"#Thalassemia":1,"#Young man smiling at doctor":1,"#Cancer care and rehabilitation center":1,"#Wigs & hair solutions":1,"#Immunotherapy and stomach cancer":1,"#Smoking cessation":1,"#Nausea and vomiting":1,"#Survivorship care for healthy living":1,"#Cancer Glossary":1,"#Survivorship care for cancer-related late and long term effects":1,"#Distress management during cancer":1,"#Myeloma":1,"#A list of current prescriptions or over-the-counter medications you are taking, including dose and frequency":1,"#At your first appointment please bring the following with you:":1,"#What do I need to bring to my first appointment?":1,"#Any related X-rays or records you may have":1,"#Pertinent information about your medical and surgical history":1,"#A form of personal ID (driver’s license, passport, etc.)":1,"#Your insurance card":1,"#Physician referral forms if required by insurance":1,"#You must either mail or bring into the office the form and a HIPAA-compliant patient authorization, which permits your physician to release the information to the requestor. Your physicians then will carefully fill out the form as necessary. We will be happy to mail you a HIPAA-compliant authorization for you to sign in front of a notary if you need one. Most forms require a fee payable at the time the form is received. The expected turnaround time is 7 to 10 business days.":1,"#It depends on your insurance. Some insurance companies require “an order” from your physician before they will pay for your medical visit. We recommend you call your insurance company to check on your benefits, and then you can call us to see if we accept your insurance.":1,"#Frequently Asked Questions":1,"#Retroperitoneal Sarcomas":1,"#Gastric Cancer":1,"#Gallbladder Cancer":1,"#Small Intestine Cancer":1,"#Ampullary Cancer":1,"#Blog":1,"#Loss of appetite":1,"#Cholangiocarcinoma":1,"#From diagnosis to treatment and beyond, our board-certified oncologists, surgeons, and supportive care experts work together to create a treatment plan tailored to your unique needs.":1,"#Conditions We Treat":1,"#Monitoring Your Health":1,"#Reducing Your Risk":1,"#Yes, breast cancer can be inherited. About 5-10% of breast cancer cases are thought to be hereditary, resulting from genetic mutations passed from parents to their children. The most common genetic mutations associated with an increased risk of breast cancer are found in the BRCA1 and BRCA2 genes.":1,"#Regular Screenings:":1,"#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,"#Can breast cancer be inherited?":1,"#HER2-Positive Breast Cancer:":1,"#Maintain a Healthy Weight:":1,"#Mammograms: Start regular mammograms earlier than the general population, as recommended by your healthcare provider.":1,"#Physical Inactivity: Regular exercise is associated with a lower risk of breast cancer.":1,"#Having a close relative (such as a mother, sister, or daughter) with breast cancer can increase an individual’s risk, indicating a possible genetic predisposition.":1,"#Hormonal Factors:":1,"#The exact cause of breast cancer is not fully understood but is believed to result from a combination of genetic, environmental, and lifestyle factors. Here are some key factors that can contribute to the development of breast cancer:":1,"#Paget’s Disease of the Nipple:":1,"#A rare and aggressive form where cancer cells block lymph vessels in the skin of the breast, causing it to look red and swollen.":1,"#Clinical Breast Exams: Have your breasts examined by a healthcare provider regularly.":1,"#Lump in the Breast or Underarm: A new lump or mass in the breast or underarm is often the first noticeable symptom. These lumps are usually painless but can be tender in some cases.":1,"#Young woman and her doctor":1,"#While these steps can reduce the risk, they do not eliminate the possibility of developing breast cancer. Regular screenings and awareness of any changes in your breasts are crucial for early detection and treatment.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,"#Certain lifestyle choices can affect the risk of developing breast cancer. These include:":1,"#Lifestyle Factors:":1,"#Inherited mutations in certain genes, such as BRCA1 and BRCA2, can significantly increase the risk of developing breast cancer. These mutations can be passed down from parents to children.":1,"#A rare cancer that starts in the cells lining blood or lymph vessels in the breast. It can be a result of previous radiation therapy to the area.":1,"#Genetic Counseling and Testing:":1,"#Breast MRI: For those at very high risk, annual breast MRI scans may be recommended in addition to mammograms.":1,"#Skin Changes: This includes dimpling, puckering, redness, or thickening of the breast skin. The skin may also have a texture similar to an orange peel.":1,"#Changes in Breast Size or Shape: Any unusual change in the size or shape of the breast can be a sign of breast cancer.":1,"#I have a family history of breast cancer. How should I monitor my health, and what can I do to reduce my risk of breast cancer?":1,"#Alcohol Consumption: Drinking alcohol has been linked to an increased risk of breast cancer.":1,"#Family History:":1,"#Exposure to estrogen and progesterone over a long period can increase the risk of breast cancer. Factors that can contribute to prolonged hormone exposure include early menstruation, late menopause, and hormone replacement therapy.":1,"#Understanding the type of breast cancer is crucial for determining the most effective treatment plan. Each type can behave differently and may require a specific approach to treatment.":1,"#These are rare breast tumors that develop in the connective tissue of the breast. They can be benign, borderline, or malignant.":1,"#Consider Preventive Medications:":1,"#Metastatic Breast Cancer":1,"#What are common signs and symptoms of breast cancer?":1,"#Individuals who inherit these mutations have a higher risk of developing breast cancer, often at a younger age. Besides BRCA1 and BRCA2, other genetic mutations, such as those in the TP53, PTEN, PALB2, CHEK2, and ATM genes, can also increase the risk of breast cancer, though these are less common.":1,"#Obesity: Being overweight, especially after menopause, can increase the risk due to higher levels of estrogen produced by fat tissue.":1,"#Germline Mutations:":1,"#Phyllodes Tumors:":1,"#Inflammatory Breast Cancer:":1,"#This type has high levels of the HER2 protein, which promotes cancer cell growth. It can be more aggressive but may respond well to targeted therapies.":1,"#Have more questions about breast cancer? We’re here to help. From understanding symptoms and risk factors to exploring treatment options and prevention strategies, our FAQ page covers what you need to know. Click below to find answers and support.":1,"#Pregnancy Associated Breast Cancer":1,"#Ductal Carcinoma in SITU":1,"#Common signs and symptoms of breast cancer include:":1,"#The risk of breast cancer increases with age, with most cases diagnosed in women over the age of 50.":1,"#Breast Self-Exams:":1,"#We believe healing extends beyond medical care. That’s why we’ve partnered with trusted organizations to offer wellness programs that nurture your body, mind, and spirit. From your first test to your final therapy session, we’re here to support and empower you.":1,"#Radiation Exposure:":1,"#What are the risk factors for breast cancer?":1,"#Aim to keep your weight within a healthy range, particularly after menopause, through a balanced diet and regular exercise.":1,"#Consider genetic counseling to assess your risk based on your family history.":1,"#While these factors can influence the likelihood of developing breast cancer, it is important to note that many people with breast cancer have no known risk factors other than age and gender. Conversely, not everyone with risk factors will develop breast cancer. Regular screenings and a healthy lifestyle can help manage and potentially reduce the risk.Understanding the type of breast cancer is crucial for determining the most effective treatment plan. Each type can behave differently and may require a specific approach to treatment.":1,"#Reproductive History: Factors such as having children at an older age, not having children, and not breastfeeding can slightly increase the risk of breast cancer.":1,"#Caring for Yourself during Diagnosis":1,"#Age:":1,"#A rare form of breast cancer that starts in the ducts and spreads to the skin of the nipple and areola, often causing crusting and redness.":1,"#For women at high risk of breast cancer, medications such as tamoxifen or raloxifene can reduce the risk. These should be discussed with a healthcare provider to weigh the benefits and potential side effects.":1,"#Perform regular self-exams to become familiar with the normal look and feel of your breasts. Report any changes, such as lumps, pain, or changes in size or shape, to your healthcare provider immediately.":1,"#Genetic testing for mutations in genes like BRCA1 and BRCA2 can provide more information about your risk and guide your screening and prevention strategies.":1,"#If you have a family history of breast cancer, it’s important to take proactive steps to monitor your health and reduce your risk. Here are some recommendations:":1,"#It’s important to remember that not everyone with a genetic mutation will develop breast cancer, and many people diagnosed with breast cancer have no family history or inherited genetic mutations. Regular screenings and a healthy lifestyle are important for all individuals, regardless of genetic risk.":1,"#Previous radiation treatment to the chest area, especially during childhood or young adulthood, can increase the risk of developing breast cancer later in life.":1,"#Targeted Therapy":1,"#Immunotherapy":1},"version":888}]