• We Treat Breast Cancer Patients Like Family.

    Using the latest 3D mammography technology and advanced surgical procedures, all in a calming environment, our breast cancer teams collaborate to provide advanced treatment options, close to home.

    The medical, surgical and radiation oncologists*, together with our compassionate oncology-trained nurses and therapists, are dedicated to delivering personalized, high-quality care to breast cancer patients.

    Each Health Quest hospital has an Oncology Navigator, a team member who is with the patient every step of the way — from screening through surgical intervention and survivorship. The Oncology Navigator is your partner during cancer treatment. The navigator will work closely your care team to ensure you and your family understand your treatment options and support resources.

    The Dyson Breast Center at Vassar Brothers Medical Center

    The Dyson Breast Center provides comprehensive breast health services in a calm, welcoming environment. You’ll find advanced technology needed for accurate screening and diagnosis of breast disease, plus an experienced team of surgeons, nurse practitioners, physician assistants, radiologists* and nurses. The Center offers complete supportive care services during and after treatment including counseling and nutrition.

    Accredited for Excellence

  • Make an Appointment

    Breast Imaging:
    (845) 790-8855

    HQMP Breast Surgery:
    (845) 214-1840

    HQMP Medical Oncology:
    (845) 483-6001

    Radiation Oncology:
    (845) 431-5645

    Surgical Oncology:
    (845) 483-6920

    Supportive Care:
    (845) 431-5699

    Gyn Oncology:
    (845) 483-6925

Vassar BNational Accreditation Program for Breast Centersrothers Medical Center and Putnam Hospital Center have both recognized by the National Accreditation Program for Breast Centers (NAPBC) through the American College of Surgeons. This esteemed accreditation is given to organizations that undergo a strict evaluation process and comply with national quality standards for treating women diagnosed with breast disease. This achievement is a strong testament to our commitment in providing high-quality breast care to patients and families in our community.

State-of-the-Art Imaging

The Dyson Breast Center imaging suite features a state-of-the-art 3D mammography/tomosynthesis unit, which produces high quality, 3D images that decrease the need for additional screenings and increase accuracy in cancer detection. 3D mammography is frequently used to screen women who have dense breast tissue. The Dyson Breast Center also offers procedures including bone-density screening and prone-stereotactic biopsy.

At the Dyson Breast Center, all patients regardless of their clinical history are screened using 3D mammography.

High Risk Program

The Center offers a high risk program dedicated to preventive care for women whose family or medical history places them in this category. Our care team will provide an assessment, personalized screening, recommendations, follow up and a plan if you are considered high risk.

Extended Stay Surgical Program (23 Hour Hospital Stay)

It is our goal to make sure that each breast cancer patient has a soothing space for recovery. We understand this is a difficult time for you and your family, and are dedicated to making your stay as comfortable as possible. During the extended stay program, you are able to complete all of your pre-surgical testing, day-of preparation, surgery and recovery in one location. You will be admitted under observation status and will be out of the hospital within 23 hours, if your doctor agrees you are ready to go home.

For qualifying patients, you’ll have access to:

  • A comfortable, private recovery room
  • A soothing environment away from the main hospital
  • Focused nursing attention to provide education and comfortable pain management
  • A complimentary robe
  • Healthy meals
  • Personal entertainment device for music, movies and TV programs

Our surgical team is conveniently located at the Center to work with you to identify the best option among the many advanced procedures.

Schedule an Appointment
Call (845) 214-1840

Meet the Providers

Health Quest breast cancer teams include board certified diagnostic radiologists, pathologists, medical oncologists, radiation oncologists, endocrinologists, geneticists and surgeons. Other team members include oncology-trained nurses, genetic counselors, patient navigators, registered dietitians, and physical and occupational therapists. All are committed to identifying and implementing the best breast cancer treatment plan for each individual patient.

 

Alexa Kyle MD

Alexa Kyle, PA
Breast Surgery


Gregory J. Zanieski, MD
Breast Surgery
Watch Video

Dr. Sara Winterleitner Breast Surgery

Sara Winterleitner, NP
Nurse Practitioner

Cancer Care Clinical Trials

If you are an interested patient, researcher or sponsor, please feel free to call us at (845) 483-6825 or email research@health-quest.org.

Our cancer care specialists in medical, radiation and surgical oncology bring an optimal level of clinical knowledge and skill to patients in the mid-Hudson valley. This attracts innovation to our area through industry sponsored, federally supported and investigator-initiated clinical trials. Health Quest offers programs and modalities which harness the power of genetic technology to create a personalized approach to cancer therapeutics, yielding the utmost potential for influencing disease progression and quality of life in the face of the most challenging illnesses of our generation.

View a list of our breast cancer clinical trials

Digital Mammography and Diagnostics

Early detection through mammography can offer the best chances of survival. That’s why we offer a full range of state-of-the-art breast cancer diagnostic services including:

  • 3D Mammography Technology that increases accuracy and improves chances of early cancer detection. Available only at Dyson Breast Center at Vassar Brothers Medical Center.
  • Digital Mammography, with its exceptional clarity and accuracy, can detect breast tumors earlier, allowing for treatment to begin sooner.
  • Stereotactic Breast Biopsy is a procedure performed by radiology in the radiology suite using specially designed equipment that allows for examination of breast tissue. Small samples of tissue are extracted through a biopsy needle for pathology to review.
  • MRI and Ultrasound Imaging can scan any angle of the body to create clear, highly detailed images. To learn more about these services, see Women’s Imaging.
  • Genetic Screening for patients with cancer or a family history of breast or ovarian cancer to test for the BRCA1 and BRCA2 genes and assess risk. To learn more about these services, see Genetic Counseling.

Advanced Surgical Options

If surgery is deemed necessary, you can rest assured you are in great hands. The surgical team specializes in breast procedures including:

  • Sentinel Lymph Node Biopsy is the surgical removal of lymph node(s) for pathology to review. This type of biopsy is used to determine if cancer cells from the breast tumor have spread. This biopsy is usually done at the same time as the surgery to remove the tumor.
  • Partial Mastectomy involves removal of the tumor along with a rim of normal tissue known as the margins. This procedure is often performed in conjunction with a sentinel lymph node biopsy.
  • Total Mastectomy involves removal of the entire breast, including the nipple and areolar complex.
  • Modified Radical Mastectomy involves removal of the entire breast, including the nipple, areolar complex and most of the lymph nodes from the armpit.
  • Radical Mastectomy involves removal of the entire breast, including the nipple, areolar complex, lymph nodes and chest wall muscles.
  • Skin Sparing Mastectomy with Immediate Reconstruction removes the breast tissue, but leaves the outer skin. If the tumor does not involve the skin, plastic surgeons then perform breast reconstruction during the same operation.
  • Nipple Sparing Mastectomy with Immediate Reconstruction removes the breast tissue leaving the outer skin and nipple areola complex. A plastic surgeon* then immediately performs reconstruction. This can be done for cancer and prophylactic surgeries.

Breast Reconstruction

With great strides in breast reconstruction procedures, we are proud to help many patients recapture the body they had before cancer. The team carefully assesses each patient to ensure she is a good candidate for this type of surgery.

Breast reconstruction is frequently performed during the same operation that removes the tumor, but can also be scheduled for later. These are the main procedures used with plastic surgery:

  • Oncoplastic surgery occurs after a lumpectomy or partial mastectomy. It involves rotating native breast tissue to fill the cavity left behind after tumor excision. This yields a better cosmetic outcome.
  • Tissue Expanders/Implants occurs after skin or nipple sparing mastectomy. A tissue expander allows expansion of the skin envelope over time and eventual exchange for an implant during a later operation. Some patients may not require expansion and have a breast implant placed at the time of mastectomy.
  • TRAM (Transverse Rectus Abdominus Myocutaneous) flap technique uses muscle, fat and skin from the lower abdomen to create a new breast mound after a mastectomy. It requires a second surgery to create a new nipple and areola.
  • LATIS (Latissimus Dorsi) flap technique rotates the upper back muscle to the front of the chest to form a new breast mound. This flap is useful in patients who have had prior abdominal surgery or in patients requiring chest wall radiation.
  • DIEP (Deep Inferior Epigastric Perforators) flap technique uses skin and fat from the abdomen to reconstruct a natural-looking, natural-feeling breast without the use of implants or abdominal muscle. Since muscle is not removed, there is generally less pain and faster recovery compared to traditional reconstruction techniques.

Radiation Therapy

Using the most advanced equipment, our radiation oncologists can precisely target the cancerous area while minimizing impact on the surrounding healthy tissue. This increases the chances for success and can lead to a quicker recovery. Your radiation oncologist* will discuss the best course of treatment for your situation.

Three types of radiation therapy are commonly used to treat breast cancer:

  • Intraoperative therapy is used in the operating room during surgery, especially for breast cancer. In this therapy, a small machine provides low-energy radiation to a specific target exposed during surgery.
  • External beam radiation therapy directs a beam of radiation at the cancerous area to destroy the tumor and any nearby cancer cells. The team can control the size and shape of the beam, as well as how it is directed at the patient’s body. This treatment spares surrounding normal tissue.
  • Brachytherapy (or internal radiation therapy) involves placing a radioactive seed in or very close to the tumor, allowing the radiation oncologist to deliver a large dose of radiation directly to the cancerous cells with minimal impact on the surrounding tissue.

Chemotherapy

Chemotherapy is the use of medication to destroy cancer cells. Some medications are in liquid form and are given through a needle. Others are taken in pill form. Medical oncologists work closely with surgeons and radiation oncologists to optimize each patient’s therapy.

The two most common therapies used to treat breast cancer are adjuvant (after surgery) and neoadjuvant (before surgery):

  • Adjuvant Therapy is designed to increase the chance of long-term survival by treating cancer cells that may have spread outside the breast. Patients determined to be at significant risk of future cancer recurrence are often treated with this therapy.
  • Neoadjuvant Therapy is designed to shrink the tumor to improve the chances of breast conservation during surgery. A patient may also receive this treatment to shrink a tumor that is inoperable in its current state, so it can be surgically removed.

Fertility Preservation

Breast cancer patients often require adjuvant therapy following surgery, which commonly affects fertility and may cause premature ovarian failure.

For women interested in future pregnancy, Health Quest offers options to help preserve their fertility during cancer treatment. These include ovarian stimulation, embryo/oocyte cryopreservation and ovarian tissue cryopreservation. Please speak with your physician to determine if a consultation with a specialist is needed.

Rehabilitation and Nutrition

To help patients recover faster, our post-operative rehab program includes education about sensations, scar management, lymphedema risk reduction management and a customized exercise program. Our Lymphedema Remediation program is led by a certified lymphedema therapist who teaches manual lymph drainage, compression, bandaging, skin care and exercise. Our program also includes access to cosmetics, wigs and post-mastectomy items.

In the event that a patient develops lymphedema, certified lymphedema therapists are available at all of our Health Quest locations. Several lymphedema therapists have received the distinction of LANA (Lymphology Association of North America) certification.

Oncology-focused registered dietitians are available to help breast cancer patients maintain good nutrition to stay strong and energetic during treatment. Dietary changes may help.

Cancer Support Groups

 

A doctor's written order is required by some insurances for a mammogram.

Locations

Dyson Breast Center—Imaging
21 Reade Place
Poughkeepsie, NY 12601
(845) 214-1830
TTY/Accessibility:
(800) 421-1220

Health Quest Medical Practice—Breast Surgery
21 Reade Place, Suite 2100
Poughkeepsie, NY 12601
(845) 214-1840
TTY/Accessibility:
(800) 421-1220

Health Quest Medical Practice—Gynecologic Oncology
45 Reade Place
Dyson Center, 3rd Floor
Poughkeepsie, NY 12601
(845) 483-6925
TTY/Accessibility:
(800) 421-1220

Health Quest Medical Practice—Medical Oncology
45 Reade Place
Dyson Center 2nd Floor
Poughkeepsie, NY 12601
(845) 483-6001
TTY/Accessibility:
(800) 421-1220

Health Quest Medical Practice—Radiation Oncology
45 Reade Place
Dyson Center, 1st Floor
Poughkeepsie, NY 12601
(845) 431-5645
TTY/Accessibility:
(800) 421-1220

Health Quest Medical Practice—Surgical Oncology
45 Reade Place
Dyson Center 3rd Floor
Poughkeepsie, NY 12601
(845) 483-6920
TTY/Accessibility:
(800) 421-1220