Manchester Comprehensive Breast Program. At the heart of the Comprehensive Breast Program at Dartmouth-Hitchcock Manchester is a specialized team of experts in surgery, radiology and cancer treatment – all who are dedicated to working together for our patients. Comprehensive Breast Program Referral Form; Comprehensive Breast Program Referral Form. Phone: (603) 653-3500. This facsimile transmission and the accompanying material contain confidential information from Dartmouth-Hitchcock Medical Center that may be privileged. Information is for the exclusive use of the addressee. Downloadable referral forms - Adult. DHMC Outpatient Referral Form (PDF) Abnormal Pap/Colposcopy Evaluation Form (PDF) Cardiology Non-Invasive Appointment Request Form (PDF) Coagulation Diagnostic Referral Form (PDF) Comprehensive Breast Program Referral Form (PDF) CT Scan Information Form (PDF) Dermatology Outpatient Consult Referral Form (PDF). Post-Surgery Prescription Program. Dartmouth-Hitchcock Medical Center – Lebanon, NH. Dartmouth-Hitchcock Medical Center (DHMC) is New Hampshire’s only academic medical. An NCI-designated Comprehensive Cancer Center. Including breast surgeries, hernia repairs and gallbladder surgery. Rosenkranz is the Medical Director of the Comprehensive Breast Program in the Dartmouth-Hitchcock Norris Cotton Cancer Center. She also serves as an Associate Professor VTDigger.
The Cancer Center’s Avon Foundation Comprehensive Breast Evaluation Center focuses exclusively on breast health and breast cancer detection. This program offers comprehensive, expert evaluation for:
- Breast lumps
- Abnormal mammograms
- Nipple discharge
- Other breast problems
- Male breast cancer
- Women at risk of breast cancer
Innovative Approaches
![Dhmc Dhmc](https://cancer.dartmouth.edu/breast/images/duct_carc_56.jpg)
Because of our exclusive focus on breast health, we offer an expertise available at only a few other centers nationwide. Our entire team, including pathologists, radiologists, surgeons and nurses, specializes exclusively in diagnosing and treating breast disorders, particularly breast cancer, with the latest, most accurate and least invasive techniques available.
The Avon Foundation Comprehensive Breast Evaluation Center offers patients:
- The most advanced imaging technologies, such as digital mammography, digital tomosynthesis, and breast MRI
- Minimally-invasive surgical diagnostics, like fine needle aspiration, that extract the smallest amount of tissue necessary to make an accurate diagnosis
- Computerized breast cancer risk assessment in collaboration with the certified genetic counselors at the Cancer Center's Center for Cancer Risk Assessment.
Breast Cancer Treatment Program
Dhmc Comprehensive Breast Program
The Center for Breast Cancer provides comprehensive, compassionate care for patients with any stage of breast cancer.
Learn More
Learn More
Expertise in Diagnosing and Staging Cancers
Staging is the process of determining the extent or location of any cancer. Quick and accurate diagnosis and staging of cancer are key to defining an appropriate treatment plan. Each patient seen at the Avon Foundation Comprehensive Breast Evaluation Center receives a customized plan that incorporates diagnostic approaches most appropriate for their condition. This plan is developed and delivered by a team of experts who focus only on diagnosing and staging breast cancers, and who are skilled at evaluating the important features, such as molecular differences, of each patient’s tumor.
Many of our specialists are consulted from around the country and the world for their breast cancer pathology expertise. We use a full range of sophisticated imaging and surgical techniques to determine the location, stage and type of breast cancer. Among these procedures are:
- Digital mammography, a mammogram that uses x-ray detectors and computer assistance to create the image
- Computer aided detection (CAD), a technique in mammographic exams that identifies regions requiring further analysis
- Ultrasound, a noninvasive procedure that uses high-frequency sound waves to image an internal body structure
- Breast MRI, which uses a powerful magnetic field and computer assistance to produce detailed pictures of the breast and regional lymph nodes
- Digital tomosynthesis, which produces a 3-D image of the breast tissue
- Blood tests, chest X-rays, CT scans of the bones, abdomen or brain, PET imaging and MRIs of other parts of the body all may be used as part of the detection and diagnostic process
Excellence in Surgical Diagnostics
Dhmc Comprehensive Breast Program
Your diagnostic plan may include a surgical procedure to determine if a lump seen in an image is cancerous, and if so, how far the cancer has advanced. Among the procedures we use are:
![Dhmc Dhmc](https://www.dartmouth-hitchcock.org/dhmc-internet-upload/file_collection/moosilauke_mountains.png)
- Fine needle aspiration/biopsy, which involves a very thin needle inserted into the breast to withdraw a small amount of tissue for laboratory examination
- Stereotactic and ultrasound guided biopsies, in which surgeons use imaging technology to guide them during the biopsy
- Core biopsy, similar to fine needle biopsy, uses a slightly larger needle and is usually done under local anesthesia
- Needle-localized breast biopsies, in which the surgeon uses a tiny wire to remove a small amount of tissue from the breast area that looks abnormal on an x-ray
- Excisional biopsy, which removes the abnormal tissue and a margin of healthy tissue for examination by a pathologist
- Sentinel node biopsy, a technique to identify, remove and examine the single lymph node most likely to indicate whether cancer has spread beyond the breast
- Computerized risk assessment to determine risk of developing breast cancer
Detecting Cancer Earlier through Research
Breast cancer detection research is focused on identifying and characterizing novel genes that are central to both normal development and cancer; this effort is designed to uncover new ways to determine risk and treatment of breast cancer. Women at high risk are followed closely with the latest imaging technology and offered risk reducing medications or surgical procedures as appropriate. In addition, our experts are engaged in ongoing research to refine and improve diagnostic techniques and to better determine the impact of treatment earlier.