If you have any questions, require information about our physicians or would like to request any information, please contact us at: marylandsurgeons@stagnes.org

Employment Opportunities:
Maryland Surgeons is always looking for qualified personnel to better serve our patients. If you would like more information about our career opportunities or would like to send us a resume please email us at marylandsurgeons@stagnes.org

Philosophy of Breast Disease Treatment

Maryland Surgeons believes that the relationship between the patient and surgeon is crucially important to receiving optimal breast care. The relationship begins with the initial consultation. At the initial consultation, the patient history is reviewed, the patient's statistical risk for breast cancer is determined, imaging studies are reviewed with the patient and a physical examination is performed. The surgeon's review of the imaging studies gives the patient a second opinion interpretation of the studies. After all of the information is considered, it is then determined if a diagnostic procedure is indicated and if so, what procedure is optimal for each individual situation. If a diagnostic procedure is required, the patient's surgeon will explain it and then personally perform it. The patient's surgeon will contact the patient to discuss the results of the procedure. If the result is that the patient is found to have breast cancer, the relationship between the patient and the surgeon will have already been established. This is crucial in helping the patient make the difficult decisions required for successful treatment of breast cancer. The surgeon will advise the patient on what further evaluation, i.e. breast MR scan, is indicated and present the patient's case to the breast cancer tumor board. The options for surgical treatment are thoroughly discussed. Advice will be given concerning referrals to the medical oncologist, radiation oncologist and plastic surgeon. Whatever treatment is required, an established patient-surgeon relationship makes a difficult situation the best it can be.

Our breast treatment and breast procedures include:

  • Diagnostic Procedures
    • Stereotactic (mammographically guided) core breast biopsy
    • Ultrasound guided core biopsy
    • Excisional breast biopsy
  • Breast Conserving Surgery
    • Lumpectomy
    • Sentinel lymph node biopsy
    • Axillary dissection
  • Mastectomy
    • Simple mastectomy
    • Modified radical mastectomy
    • Skin sparing mastectomy
    • Nipple sparing mastectomy
    • All types of reconstruction are performed by our plastic surgery colleagues



Frequently Asked Questions - Breast Procedures

Q. What is stereotactic (mammographically guided) core breast biopsy?
. A core biopsy is a method of removing a specimen of breast tissue about the size of a pencil lead through a very small incision. A stereotactic core biopsy uses a special biopsy table and mammography to precisely locate the coring needle into the area of the breast to be sampled. It is a particularly useful technique for sampling areas of abnormal micro-calcifications. The procedure is performed under local anesthesia and takes less than an hour. The patient can drive herself to and from the procedure.

Q. What is sentinel lymph node biopsy?
A. Sentinel lymph node mapping is a method of identifying the lymph node closest to the breast. This lymph node has been named the sentinel lymph node. The sentinel lymph node is the first lymph node that filters the fluid draining away from the primary tumor. If cancer cells are breaking off and entering the lymph system, the first filtering node will be most likely to contain breakaway cancer cells. If the sentinel node is cancer free, the probability is high that the cancer has not spread to any other node. This information is important in staging the cancer and individualizing the cancer treatment for maximum benefit. Identifying the sentinel node and removing it for pathologic examination is a sentinel lymph node biopsy.

Q.What is a mastectomy?
Mastectomy is the surgical removal of the breast for the treatment or prevention of breast cancer.  There are three main kinds of mastectomy: modified radical, simple and skin/nipple sparing. In each case, all of the breast tissue is removed. In a simple mastectomy, the nipple is removed with all the breast tissue. In a modified radical mastectomy, the nipple is removed as well as the lymph nodes under the arm. In a skin sparing mastectomy, as much of the skin of the breast is left in place as possible to keep the original shape of the breast intact. A nipple sparing mastectomy is a skin sparing mastectomy where the nipple is left intact. The type of mastectomy chosen depends on the specific cancer being treated, the preoperative shape of the breast and the wishes of the patient.

For more information on breast surgery or the breast procedures we perform as they relate to diagnosis and treatment of breast cancer, please visit Susan G. Komen For The Cure


For more information on Breast Surgery please
contact us at (443) 574-8523.

Maryland Surgeons