Breast Cancer Services: A Close to Home Story – Portsmouth Regional Hospital

Breast Cancer Services: A Close to Home Story – Portsmouth Regional Hospital


– My name is Adrienne Guidoboni, and I live in Seabrook, New Hampshire. I had gone in for a routine mammogram, and that’s when they discovered
that I had breast cancer. When I went in for the mammogram, I thought it was just gonna
be a routine screening, and when I got diagnosed with that it was kind of a punch to the gut. I was not expecting
that, but thank god I had a really good support
team here at Portsmouth, and they helped me through that. – My name is Lauren Thompson,
and I’m the breast surgical oncologist at Portsmouth
Regional Hospital, and the medical director
of the breast center here. The cancer word is a very scary word. On average, one in
eight women will develop a breast cancer over their
course of their lives. Most people think that a cancer diagnosis is something that is imminently
putting their life at risk, when in reality breast
cancer has never been more curable than it is today. (soft music) We have amazing treatments for women at all stages of disease,
but more and more women are finding their tumor
sooner through the amazing advances we’ve had in screening imaging. Adrienne came in for
screening imaging, which meant that she didn’t feel anything
wrong with her breasts. She had no idea that there
was going to be something that was found on her imaging which is how most women are diagnosed. – Initially, I didn’t have a clue. I had no idea even how to
approach treating this. I didn’t know if I would
need radiation, chemotherapy. I had no clue how we were
gonna take this head on and cure it, and so that’s where Darlene and Dr. Thompson came in. They sat me down. They showed me the options,
answering every question that my husband and I had. Dr. Thompson, just an amazing woman. She came in with such a gung-ho attitude of we’re going to beat this. We’re going to get this done together. Darlene Tassinary was the nurse navigator and helped to set up
the appointments for me to be there with me during the treatment. So the two of them just
made an amazing team. – There are two basic
kinds of breast surgery. There are mastectomies where we remove the entire breast, and lumpectomies where we’re able to remove just the tumor and remove normal tissue around it. That allows a woman to save her breast, and it’s called breast-conserving surgery. We talked about the fact that for her both were perfectly safe cancer surgeries. Her survival was the
same whether she chose a lumpectomy or mastectomy,
and so given those great odds, she decided to go with the lumpectomy which is much less invasive,
much easier to recover from. The traditional method
of finding the tumor when it isn’t palpable,
meaning I can’t feel it with my hands, is to place a wire into the breast in the morning of surgery. The wires can move. They can be displaced. It’s a logistical hassle
for our operating room. What we do here is something
called a wire-free solution. At the time of the biopsy,
we were able to place a little reflector for eventual surgery because the area was so concerning we knew it was gonna
come out no matter what. That extra clip is a
reflector for a radar signal that I have in a little
wand in the operating room. It clicks, and beeps, and
says go here, go there. The best part about it is that
I’m able to move my incision to some place that’s a little
more cosmetically appealing. It’s very important to me
that women have good cosmetic outcomes because the survival
numbers are extraordinary for breast cancer, and
that means that women are going to live with
these scars for a long time. (soft piano music) I think this hospital is
an extraordinary resource for the Seacoast community. I think that we have everything
that you could ask for where patients can have
all of their doctors talk to each other every
day multiple times a day, and so you’re getting
personalized, coordinated care with cutting-edge technology,
and doctors who are at the front lines of all
of the newest advances in breast-cancer therapy. – You know, it’s funny. You come in, and you
know you’re a patient, and you’re being treated medically, but the genuine care
that they have for you not just as a patient but as a person, your emotional health as
well as your physical health. When your diagnosis is
something like breast cancer, you think worst-case scenario. You think you’re going to die. You think of all the things
that you’ve left unfinished, and what you wanted to do with your life, and you think, oh my god,
it’s going to end so quickly, but that wasn’t the case. There’s so much hope and
so many positive treatments that can be done to help cure you of this horrible illness, and I was lucky. I have Dr. Thompson. I would absolutely recommend Portsmouth over going to Boston, any other place. This place is amazing. It’s close by, it’s personal. They care about you, the entire person. I can’t recommend Portsmouth enough. (soft piano music)

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