An affiliate of the American Society of Clinical Oncology - Learn More

Ironwood Breast Surgeon Dr. Patricia Clark Co-Authors Journal of Clinical Oncology Article Underdiagnosis of Hereditary Breast Cancer

On December 7, 2018, an article I co-authored was published in the Journal of Clinical Oncology regarding need to re-examine the national guidelines for who should be tested for genetic predisposition to develop breast or ovarian cancer.  We used an 80 gene panel to test over 1,000 patients with breast cancer, half who met NCCN Guidelines recommending genetic testing and half who didn’t. We found no difference in the rate of mutations between the group who met the guidelines and those who didn’t.  As a result of this study results, I decided to abandon the national guidelines.

A decade ago, genetic testing for just the BRCA gene could cost over $3,000. Next-generation sequencing and other advancements made panel testing more accessible to the public.  Insurers will cover the cost when guideline criteria are met. Even when a patient’s insurance doesn’t cover the testing, the gene panels are $250 or less.  Genetic testing for predisposition to breast and ovarian cancer are within reach for most patients and are even available over the Internet.

I now offer genetic testing to all of my breast cancer patients and any patient that requests it regardless of the guidelines.  I believe it is important physicians or genetic counselors stay involved in the genetic testing process to ensure patients receive appropriate counseling and follow-up of results with management recommendations. Testing provides peace of mind and gives us the opportunity to either prevent the cancer or to detect at an early stage through appropriate surveillance when the opportunity for cure is highest. It also identifies family members who do not carry the pathological mutations and whose risks are no higher than the general public despite their family history.

Thank you,

Breast and Oncoplastic Surgery

Ironwood Women’s Centers

 

Full Article in Text

Full Article in PDF

To learn more about Dr. Clark click here.

Do I need Chemotherapy for my Breast Cancer?

There has been a great deal of discussion about the use of chemotherapy in breast cancer patients. The decision to have chemotherapy depends on the type of breast cancer you have. Learn more about chemotherapy in breast cancer with Dr. Patricia Clark’s video.  To make an appointment with Dr. Clark at the Ironwood Women’s Center in Scottsdale call 480-324-5252 or visit http://ironwoodcrc.com/locations/scottsdale-womens-center/.

Breast Cancer Research Talk with Pfizer & Dr. Kalmadi

Pfizer Inc Cordially Invites You to Attend An Informational Program Understanding a Treatment Option for Women With HR+/HER2- Metastatic Breast Cancer

Learn more about a certain type of MBC and an FDA-approved treatment from a healthcare professional

Hear a Patient and/or Caregiver Ambassador share their story
about living with or caring for someone with MBC

FEATURING
SUJITH KALMADI, MD

CINDY C., PATIENT AMBASSADOR
JOHN C., CAREGIVER AMBASSADOR

12-2 PM, SATURDAY, NOVEMBER 10, 2018

LUNCH AND PRESENTATION TO FOLLOW
IRONWOOD CANCER & RESEARCH CENTERS, 8880 EAST DESERT COVE AVENUE, SCOTTSDALE, AZ 85260

Please RSVP by calling
1-844-390-8704
by November 2

 

This invitation extends to you and your caregiver guests who support you in your MBC journey. We kindly ask that you limit caregiver attendance to no more than two guests per MBC patient. The content of this free program is intended for an adult audience and children are not permitted to attend. Your RSVP is for planning purposes only. Your information will not be used for solicitation purposes. Pfizer respects your privacy. When you RSVP, it is not necessary to provide your name or other personal information; you may simply identify yourself as a consumer who is accepting the invitation. Pfizer’s educational programs for consumers are conducted in accordance with the same high ethical standards that we apply to our programs for healthcare professionals. The sole purpose of consumer programs is to educate you on general healthcare issues. Pfizer cannot provide diagnosis, treatment, or other medical advice to you. If you have any medical questions regarding your own health, diagnosis, or treatment, please consult your healthcare provider.

 

Facebook Event Page

Printable Event Page

Flat and Fabulous Breast Cancer Surgery with Dr. Patricia Clark

In the September 2018 Cosmopolitan, Dr. Clark is quoted in the article “These Cancer Patients Wanted to Get Rid of Their Breasts for Good. Their Doctors Had Other Ideas.”  Read the entire article here.  Read more about Dr. Clark here or call 480-324-5252 for more information.

 

DiepCFoundation Interview of Dr. Patricia Clark

DiepCFoundation  interviewed Dr. Patricia Clark from Ironwood Cancer & Research Center in Scottsdale, Arizona. Dr. Clark explains that oncoloplastic surgery is generally referred to as reconstruction of lumpectomy defects. She states that all breast cancer patients should be evaluated from an oncoplastic standpoint. Rearrangement of local tissue can add volume back to the breast with existing tissue to prevent deformities that can happen after traditional lumpectomies. This procedure can also be a consideration for men with male breast cancer. http://www.diepcfoundation.org/ is a non-profit 501(c)(3) organization providing education and resources to empower women and men with information to make an informed decision about options for breast reconstruction after a mastectomy.