Breast Cancer Treatment

Expert, personalized breast cancer treatment in San Diego

A smiling mature woman represents the full life that can be led after breast cancer treatment.

Expert, personalized breast cancer treatment in San Diego

Advances in the treatment and early detection of breast cancer are part of the reasons why breast cancer deaths have been decreasing since 1989 in America. Scripps Cancer Center is a leader in breast cancer treatment, offering innovative options found at only a handful of cancer care centers across the country.


Not only are we leaders in groundbreaking breast cancer care: 


  • Scripps cares for more breast cancer patients than any other San Diego health care provider.
  • Scripps-affiliated physicians comprise half the region’s physician membership in the American Society of Breast Surgeons.
  • Scripps was the first San Diego health care provider to offer centers exclusively dedicated to breast care.


Our multidisciplinary, collaborative approach to cancer care ensures you receive comprehensive care from diagnosis to recovery.

How is breast cancer treated?

How is breast cancer treated?

The most effective treatment for breast cancer depends on several factors, including the type and stage of the cancer. Treatment may include the following:


  • Surgery — an operation to remove the cancer
  • Radiation therapy — using radiation to kill cancer cells
  • Chemotherapy — using drugs to kill cancer cells
  • Endocrine therapy — using hormone-blocking therapy to stop the cells from growing
  • Targeted therapy — using drugs targeting a unique marker on the breast cancer cells
  • Breast cancer clinical trials — using research studies to find new treatments


Patients with stage IIIB or IIIC inflammatory breast cancer are generally treated with chemotherapy to reduce the tumor. In some cases, treatment may include targeted therapy or hormone therapy. Surgery is then performed to remove the breast and nearby lymph nodes, followed by radiation therapy and possibly additional chemotherapy. If cancer has advanced to stage IV (when cancer has spread to other parts of the body, called metastatic breast cancer), treatment may include a combination of chemotherapy, targeted therapy and hormonal therapy.

Breast cancer treatment options at Scripps

Breast cancer treatment options at Scripps

Scripps develops personalized cancer treatment plans from a full array of proven, evidence-based procedures and therapies.

Breast cancer surgery

Surgical oncologists perform a variety of breast cancer operations to surgically remove breast cancer. In some cases, reconstructive surgery is also part of the cancer treatment plan.


Breast-conserving surgery (BCS)

Breast-conserving surgery involves partial removal of the breast, depending on the size and location of the tumor. BCS surgery is typically followed by radiation treatments. A BCS procedure is technically known as a partial mastectomy, but most often BCS surgeries are described in one of two ways:


  • Lumpectomy is removal of a lump.
  • Segmental mastectomy is removal of the cancer and some adjacent tissue.


Mastectomy

The entire breast is removed in a total mastectomy, including all breast tissue and sometimes surrounding tissues. Types of mastectomies include:


  • Mastectomy is when the entire breast is removed; no lymph nodes under the arm are involved. This surgery is also known as a total mastectomy.
  • Modified radical mastectomy is when a simple mastectomy is combined with removal of most of the lymph nodes under the arms.
  • Skin and nipple areola sparing mastectomy is when the breast tissue is removed, but the skin and nipple over the breast are preserved. Often the reconstructive surgeon will be present to start the breast reconstruction at the time of this type of mastectomy.


Lymph node biopsy

Typically performed at the time of surgery, a sentinel lymph node biopsy is the removal of a sentinel lymph node. These are the first lymph nodes to receive lymphatic drainage from breast tumors and are therefore removed to evaluate the spread of cancer from the breast into the lymphatic system.


If cancer cells are found in the sentinel node, another surgery to remove the axillary lymph nodes may be needed. Sentinel lymph node biopsy is the preferred first step since it removes fewer lymph nodes has fewer long-term side effects.


Reconstructive surgery

Women who have had a lumpectomy or mastectomy for breast cancer may choose to have breast reconstruction surgery to restore one or both breasts to a natural shape and size.


Often, breast reconstruction involves multiple procedures performed in stages. Some women may start reconstructive surgery at the time of mastectomy surgery, while others may wait until a later time to begin the process.


The surgeons at Scripps Clinic Division of Plastic and Reconstructive Surgery are experts in breast reconstruction after cancer treatment. Our plastic surgeons perform several types of breast reconstruction, including the newer DIEP (deep inferior epigastric perforator) flap procedure. This microsurgery uses fat from the abdomen to reconstruct breast tissue.


If you’re considering breast reconstruction, our plastic surgeons will recommend the best type of surgery for your individual needs. We recommend scheduling a consultation with one of our plastic surgeons before you have cancer surgery.

Breast cancer radiation therapy

Scripps cancer experts offer state-of-the-art radiation technology that targets cancerous cells while reducing radiation exposure to healthy tissue. Radiation therapy for breast cancer can be used before surgery to shrink tumors, or more commonly after surgery to kill remaining cancer cells. It can also be used to target the whole breast or partial breast.


Radiation therapy is organized into two main categories:


  • External radiation therapy may come from a machine outside the body.
  • Internal radiation therapy places materials that produce radiation through thin plastic tubes into the area where the cancer cells are found.


External radiation


  • 3-dimensional conformal radiotherapy uses advanced computer software that allows physicians to visualize a patient’s anatomy in three dimensions (3D), thereby more closely matching the radiation dose to the shape of the tumor while minimizing exposure to surrounding healthy tissues and organs.


Internal radiation therapy


  • High-dose rate (HDR) brachytherapy administers radiation internally by placing radioactive beads or other sources directly into the body through catheters or small plastic tubes. HDR brachytherapy is given alone or with a shorter course of external radiation therapy.

Breast cancer systemic therapy

All cases of invasive breast cancer are tested for estrogen receptors, progesterone receptors and HER2 receptors. Depending on the results, further testing may be indicated to help personalize additional therapies, such as endocrine therapy, HER2 directed therapy or chemotherapy. Systemic therapy may be given before or after surgery.


Chemotherapy

Chemotherapy is the use of special drugs to damage or kill cancer cells. Chemotherapy may be taken by mouth, or it may be put into the body by a needle in a vein. Chemotherapy drugs enter the bloodstream and travel through the body to target cancer cells outside the breast area.


Endocrine therapy

If tests show that the breast cancer cells contain estrogen or progesterone receptors, you may be given endocrine therapy. Endocrine therapy is used to block hormones in the body that might help cancers grow, or by using drugs that block the action of hormones.


Targeted therapy

Targeted therapy uses drugs to identify and attack specific markers on cancer cells. Some types of targeted therapy kill cancer cells directly by affecting how the cells grow and survive. Other targeted therapies help the body’s own immune system attack and fight the cancer. Monoclonal antibodies and tyrosine kinase inhibitors are two types of targeted therapies used in the treatment of breast cancer.

Breast cancer clinical trials

Some breast cancer treatment plans may involve clinical trials. Talk with your physician about whether a clinical trial is right for you.


For a list of clinical trials that are currently enrolling patients, see our current list of clinical trials.

Our approach to breast cancer treatment

Our approach to breast cancer treatment

Scripps Cancer Center's multidisciplinary teams of experienced cancer specialists, nurses and other health professionals customize every patient’s breast cancer treatment plan to reflect not only her medical needs, but her personal and lifestyle needs as well. Additionally, our specially trained nurse navigators coordinate complex cases to provide support and guide patients through their treatment with expertise and compassion.


Scripps offers patients access to some of the nation’s most advanced cancer treatments, including evidence-based treatment protocols and landmark clinical trials. For more on our approach to treating breast cancer, visit our Why Scripps section.

Your custom cancer treatment plan

Your Scripps cancer team will develop a customized treatment plan outlining the treatments and therapies we recommend for your care. Before you begin treatment, you and your physician will review your plan together and discuss any questions or concerns you may have. 


Your breast cancer treatment plan generally includes:


  • Family and medical history
  • A summary of your cancer diagnosis and staging information
  • Diagnostic testing completed (e.g., imaging, biopsy, lab tests)
  • Plans for surgery, radiation, chemotherapy and/or other treatments
  • Potential side effects of treatments
  • Contact information for your cancer care team members


Along with helping you understand your course of treatment and encouraging discussion between you and your physician, your plan helps your team coordinate your care. You also can share your treatment plan with other providers who may be involved in your medical care.

Your breast cancer team

Your breast cancer care team includes health and medical professionals from a wide range of specialties. Scripps will customize your team to ensure you have the expertise and support you need. Your team may include:


  • Nurse navigators
  • Surgeons and surgical oncologists
  • Radiation oncologists
  • Medical oncologists
  • Pathologists
  • Diagnostic radiologists
  • Registered nurses
  • Dietitians
  • Oncology social workers


For details, refer to our section covering your cancer care team. 

Breast cancer treatment locations

Breast cancer treatment locations

Scripps cares for women at cancer treatment locations throughout San Diego County. In addition to five hospital campuses and numerous outpatient clinics, patients have access to dedicated breast cancer care centers in La Jolla, Torrey Pines and San Diego; state-of-the-art radiation therapy centers in La Jolla, Encinitas and Vista; and outpatient chemotherapy infusion centers across the region.


We are now offering Video Visits for some specialty care appointments. If you are interested in scheduling a Video Visit, contact the provider’s office directly. The doctor’s office will work with you to determine if this is the right type of visit for you.


Learn more about our gamut of cancer care locations in Southern California and the services offered at each. 

Support groups, services and resources

Support groups, services and resources

Scripps offers a comprehensive lineup of support groups, support services, and resources and services to help you along every step of your cancer journey.

Breast cancer support groups, workshops and events

The following support groups are for breast cancer patients only.


Breast Cancer Support Group (virtual or phone)


Meeting times: 2nd Wednesdays, 1 - 2 pm

Contact info: Jeanne Vestevich, LCSW, 760-492-5899 or Vestevich.Jeanne@scrippshealth.org


COVID-19 update

All of our Scripps on-site classes and support groups have been suspended. Online classes will continue as normal. Please make note of these changes and adjust your personal schedule as necessary.


Breast Cancer Support Group (Carlsbad)



Breast Cancer Support Group (Chula Vista)



For info about other cancer support groups in the San Diego community, call the American Cancer Society at 800-227-2345.


In addition to the breast cancer support groups listed above, we also host a handful of free workshops and health and wellness events on a number of topics, such as:


  • Nutrition
  • Yoga
  • Meditation

Support services for cancer patients

We are here for you — not only as your oncologists, but as a robust multidisciplinary team of experts who understands that your breast cancer journey is about much more than your medical treatment. Specifically, Scripps offers a variety of patient support services to ensure your physical, psychological and emotional well-being as well as resources for dealing with the logistical and financial aspects of cancer care. Our services and resources include:



For the full lineup of offerings, please visit our cancer patient resources section.

Additional resources for patients, caregivers and family members

Patient education is an integral part of understanding and coping with your cancer diagnosis and treatment. To stay informed, we encourage our patients, along with their caregivers and family members, to:


  • Bookmark the Scripps glossary of cancer terms for easy referencing.
  • Download the appointment form and list of medications form on our resources page.
  • Consult your oncology team for educational materials and a list of trusted online sources beyond the Scripps site. 


Navigating cancer might seem overwhelming — especially with so much information online. To ensure you receive the most accurate details, always look to your multidisciplinary team of cancer care experts first.