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Cancer Diagnosis?

Our nurse navigators are here to help you through your cancer journey.

Joanna Morgan, MSN, RN, OCN

Carrie Waltemath, BSN, RN, OCN

Carmen Orr, BSN, RN, OCN

Listen Now!

Breast Cancer – Your Personalized Treatment Plan

Dr. Rachel Jendro leads an informative discussion about the Bryan Breast Cancer Multidisciplinary Clinic, and the personalized diagnosis and treatment plans their team offers to patients

breast cancer multidisciplinary clinic

capitalmom breast cancer treatment nurse navigator

Guided Breast Cancer Care with Bryan Oncology Nurse Navigators

Read how Bryan's Nurse Navigator, Joanna is helping cancer patients

Breast Cancer

Comprehensive breast cancer care at Bryan

pink flowerGet your personalized treatment plan from cancer specialists

Talk to your provider about a referral to the Bryan Breast Cancer Multidisciplinary Clinic.

Call our Bryan Cancer Program Line at 402-481-7900.

At Bryan, our board certified doctors and compassionate nurse navigators are here to guide you through every step of your breast cancer journey. We’ll help you understand your cancer, provide innovative treatment and give you endless comfort, care and support along the way.

Breast Cancer Multidisciplinary Clinic

We know this is a stressful time. We're here to provide the care, support and convenience to help you. During one appointment, you'll meet with a team of specialists, get answers to your questions and a treatment plan.

  • One appointment - A breast cancer surgeon, medical oncologist and radiation oncologist will review your test results to determine the best treatment approach for you
  • Personal attention - Each specialist will meet with you to provide information and answers to your questions. You'll also meet with an oncology nurse navigator and other health professionals.
  • Treatment plan - You'll receive a personalized treatment plan at the end of your appointment. 

If you're newly diagnosed with breast cancer, ask your provider for a referral to the Bryan Breast Cancer Multidisciplinary Clinic.

Risk Factors

While there is no known cause of breast cancer, we do know that certain risk factors are linked to the disease. Having a risk factor, or even several, doesn’t mean that you will get breast cancer. Some risk factors have a bigger effect than others, and your risk for breast cancer can change over time because of age or lifestyle changes.

One in three women who are diagnosed with breast cancer did not have any risk factors. That’s why early detection is so important.

  • Make sure you have an annual mammogram if you’re over the age of 40
  • In addition to annual screening for women 40 and older, women with certain risk factors should discuss an appropriate screening program with their doctor

Risk Factors

Studies link the following with increased risk of breast cancer:

  • 50 years and older
  • Have inherited changes (mutations) in certain genes
  • Family history of breast cancer
  • Denser breast tissue
  • Began having periods before age 12 or who went through menopause after the age of 55
  • Had their first child after age 30
  • Take estrogen and progesterone after menopause
  • Breast conditions such as atypical ductal or lobular hyperplasia or lobular carcinoma in situ (LCIS)
  • Did not breastfeed
  • Consume alcohol or smoke
  • Overweight or obese


Diagnostic tests are used to determine if breast cancer is present and if it has spread outside the breast. Information gathered from your diagnostic tests will be used to guide discussion and decisions about your treatment.

3D Mammogram

A mammogram is an x-ray picture of the breast. A 3D mammogram gives radiologists a three-dimensional image of the breast. It is especially beneficial for women with dense breast tissue. How often you should have a mammogram depends on your age and your risk of breast cancer.

A screening mammogram is used to check for breast cancer. A diagnostic mammogram is used to check for breast cancer after a lump or other abnormal sign or symptom has been found.

If you’re over the age of 40, it’s important to have an annual mammogram. To schedule your mammogram today, call 402-481-5121.

Breast Ultrasound

A breast ultrasound uses sound waves to outline the area of concern found on a mammogram. This procedure can determine the area in question is a cyst or a solid mass. This is helpful because many cysts do not need to be examined further with a biopsy.

Breast MRI

Breast MRI scans use magnets and radio waves (instead of x-rays) to produce very detailed, cross-sectional images of your body. MRI can be used for screening, but it can also be used to look at areas of concern found on a mammogram. It also can be helpful in evaluating a palpable lump (a lump that can be felt) but isn’t seen with mammography or ultrasound, or a mass in a woman with dense breast tissue, or determining if the cancer is limited to one area of the breast.


A biopsy is the removal of tissue from the breast to determine if cancer cells are present. Breast biopsies are ultrasound guided or mammogram guided using a core needle biopsy. If cancer is present, the pathologist will examine the cells and identify specific characteristics to help guide treatment decisions. In the United States, only about 20 percent of women who have breast biopsies have cancer.

Treatment and Therapies

If you’ve been diagnosed with breast cancer, you and your doctors will put together a treatment plan specific for you. The plan will consider the unique characteristics of your tumor, the stage or extent of your cancer, your overall health and your personal preferences.

Your treatment plan will be made up of one or more specific treatments to target the cancer cells and reduce your risk of future breast cancer recurrence.

Your Treatment Options


  • Lumpectomy
    Also known as breast-conserving surgery, is the removal of only the tumor and a small amount of surrounding tissue
  • Mastectomy
    The removal of all of the breast tissue
  • Lymph node removal
    • Sentinel Lymph Node Removal (Biopsy)
      A sentinel lymph node is the first lymph node cancer is likely to spread to from a primary tumor. A sentinel lymph node biopsy is the procedure to identify, examine and remove the first lymph node to which cancer is likely to spread.
    • Axillary Lymph Node Dissection
      Axillary lymph node dissection is when 10 or more lymph nodes are removed. This can take place during lumpectomy and mastectomy if the biopsy shows that breast cancer has spread outside the milk duct. Some people qualify for this less-invasive surgery.
  • Breast reconstruction
    The rebuilding of the breast after mastectomy and sometimes lumpectomy. Reconstruction can take place at the same time as cancer-removing surgery, or months to years later. Some women decide not to have reconstruction or opt for a prosthesis
  • Hormonal Therapy
    Hormonal therapy (anti-estrogen therapy) medicines treat hormone-receptor-positive breast cancers in two ways:
    • By lowering the amount of the hormone estrogen in the body
    • By blocking the action of estrogen on breast cancer cells


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