Video Library

Text Size A A

E-Mail to a Friend






secret  Click to Play Audio


Video Library

Dr. V.K. Gadi

Dr. V.K. Gadi

Dr. Gadi is a medical oncologist who specializes in caring for women with breast cancer. In this video, Dr. Gadi outlines some of the qualities that makes SCCA unique. The true value at SCCA is research. We integrate new ideas and new ways of thinking about old problems and build on old tools to come up with better outcomes for our patients. To make meaningful impacts on cancer treatment, scientists and physicians are needed. SCCA provides a level of cooperation between researchers and physicians taking care of patients that's not possible at a lot of places. Our multi-disciplinary approach means that all doctors and physicians involved in patient treatment meet to discuss every case and then meet with the patient on that same day.

Dr. Julie Gralow

Dr. Julie Gralow

Dr. Julie Gralow is a medical oncologist who specializes in treating women with breast cancer. In this video she describes SCCA's approach to patient care. According to Dr. Gralow, SCCA understands that you can?t treat patients without taking the time. Because we have so much to offer in terms of education, research and the best clinical tools, we are able to give the patient everything she needs. Patients that seek us out really want to be an active participant in their care and we strive to make them a full-time member of the team. We also want to be there to care for the whole family. You need your whole team behind you and that includes your family support team. We understand that each patient is variable and comes with her own unique background and genetics. We take all her life circumstances, genetics and genetics of the tumor and create an individualized treatment plan that is more specific and less toxic for our patients.

Breast Cancer Doctor Videos

Dr. Ben Anderson

Dr. Ben Anderson

Dr. Ben Anderson is a surgical oncologist who treats women with breast cancer. In this video Dr. Anderson discusses SCCA's multidisciplinary approach to treating breast cancer. Everyone at SCCA is able to specialize, making everyone at the SCCA Breast Health Clinic ?super breast specialists? and not just cancer specialists. The SCCA is the academic leader in breast health for the Pacific Northwest. Our advantage at SCCA is our multidisciplinary team. Our surgeons, physicians, nurses and staff work together in an integrated way that minimizes the chance of missing disease. Oncoplastic surgery is where we combine techniques used by plastic surgeons for breast lifts and breast cosmesis with cancer surgery. Together, our team has developed cutting edge techniques for working together in the same operating suite, ideal for patients looking to cure their disease and maintain their body image.

Dr. Janice Kim

Dr. Janice Kim

Dr. Janice Kim is a radiation oncologist who specializes in treating breast cancer. In this video she discusses radiation treatment at SCCA. We know from studies that after surgery there are microscopic cells left behind. Radiation eradicates those cells and reduces the risk of reoccurrence. Our treatment process is designed to be effective and still have minimal impact to the patient. Most of our patients maintain active lifestyles throughout their treatment. The SCCA multi disciplinary approach means that all your treatments are done at one facility making treatment much more convenient for our patients. We take a group approach to reviewing all patient pathology and imaging. The patient team reviews each case weekly to coordinate findings and treatment efforts. Having our entire team under one roof streamlines communication with the team and patient.

Dr. Constance Lehman

Dr. Constance Lehman

Dr. Constance Lehman is the director of imaging at SCCA. In this video she encourages early detection of breast cancer using mammograms. One thing we know is that if we can detect breast cancer early, we can cure it. This is done through aggressive screening using mammography. The challenge we face at SCCA is education and getting every woman to screen for early detection. We have a mobile program in the community and our combined screening and diagnostic mammography program at the Seattle Cancer Care Alliance. Every mammogram is digitally performed by an expert technologist and interpreted by an expert radiologist. Early detection is the key to successfully curing breast cancer.

Dr. David Byrd

Dr. David Byrd

Dr. David Byrd is a UW professor of surgery, the section chief of surgical oncology. In this video, he talks about how he focuses on the patient. Dr. Byrd understands the impact on patient lives when given a cancer diagnosis. Everything at SCCA has the patient in mind. From the moment a patient walks into the building, SCCA's treatment teams are there to support patient goals, including follow up plans and survivorship plans. SCCA personalizes treatment plans by taking what is known at an evidence-based level and tailoring it to patient goals.

Dr. V.K. Gadi

Dr. V.K. Gadi

Dr. Gadi is a medical oncologist who specializes in caring for women with breast cancer. In this video, Dr. Gadi outlines some of the qualities that makes SCCA unique. The true value at SCCA is research. We integrate new ideas and new ways of thinking about old problems and build on old tools to come up with better outcomes for our patients. To make meaningful impacts on cancer treatment, scientists and physicians are needed. SCCA provides a level of cooperation between researchers and physicians taking care of patients that's not possible at a lot of places. Our multi-disciplinary approach means that all doctors and physicians involved in patient treatment meet to discuss every case and then meet with the patient on that same day.

Dr. Julie Gralow

Dr. Julie Gralow

Dr. Julie Gralow is a medical oncologist who specializes in treating women with breast cancer. In this video she describes SCCA's approach to patient care. According to Dr. Gralow, SCCA understands that you can?t treat patients without taking the time. Because we have so much to offer in terms of education, research and the best clinical tools, we are able to give the patient everything she needs. Patients that seek us out really want to be an active participant in their care and we strive to make them a full-time member of the team. We also want to be there to care for the whole family. You need your whole team behind you and that includes your family support team. We understand that each patient is variable and comes with her own unique background and genetics. We take all her life circumstances, genetics and genetics of the tumor and create an individualized treatment plan that is more specific and less toxic for our patients.

Dr. Shannon Colohan

Dr. Shannon Colohan

Dr. Shannon Colohan's is a surgeon who specializes in breast reconstruction. In this video, she discusses what motivates her and and what it's like to care for patients at SCCA. Dr. Colohan was fairly ill as a child and had a lot of experience as a patient, which helped to create her interest in the medical field.  She is artistic and likes to work with her hands, leading her to an interest in surgery and then plastic surgery. Dr. Colohan specifically chose breast cancer reconstruction because she loves helping patients at a difficult point in their lives, helping to change how they feel about themselves and bringing them to a happier place. SCCA takes a team approach to cancer care, collaborating with the nurses, physician assistants, medical assistants, and other surgeons.  Dr. Colohan is part of a team of six plastic and reconstructive surgeons who are wholly dedicated to breast reconstructive surgery, whose expertise she believes leads to better outcomes for her patients.

Breast Cancer Treatment Videos

Dr. Julie Gralow at ASCO 2014

Dr. Julie Gralow at ASCO 2014

Dr. Gralow discusses new developments in the treatment of breast cancer at ASCO 2014. 

T-DM1 for Breast Cancer

T-DM1 for Breast Cancer

Using T-DM1 for treating HER2-positive Breast Cancer Dr. Julie Gralow discusses newly approved drug T-DM1 and what this means for women living with HER2-positive breast cancer and other breast cancers. This exciting new category of breast cancer drug is an antibody that delivers chemo directly to the cancer cell, leaving the bulk of the body free of exposure to unnecessary chemotherapy. For the 20-25% of breast cancer patients with HER2-positive breast cancer and HER-2 express breast cancer this drug is significantly less toxic on the body. Side effects include a small chance of heart toxicity and a possible decrease in platelets. However, in general the side effects are markedly less than standard chemotherapy treatment with less reports of fatigue, no hair loss and no nausea and vomiting.
Breast Cancer Breakthroughs

Breast Cancer Breakthroughs

Dr. Byrd Discusses the Latest Breakthroughs in Breast Cancer Treatment According to Dr. David Byrd, one major breakthrough in breast cancer treatment is advancement in early detection. Surveillance is getting better resulting in earlier diagnosis, making breast cancer much more curable. He also discusses exciting new therapies that are able to target tumors allowing treatment of specific tumors using agents that use targeted chemotherapy or hormone therapy. Advancements in hormone treatment for breast cancer allow targeted therapy that helps keep tumors that make estrogen from dividing. This breakthrough is less destructive on the body overall with many less side effects. These advancements have had some exciting impact on breast cancer survival rates at SCCA. In general, breast cancer patients are surviving longer and cure rates are much higher at SCCA than at community hospitals. According to the National Cancer Data Base, SCCA's 5 year survival rates, stage for stage, are superior to other programs with small, medium or large cancer facilities.

Breast Cancer Surgery

Breast Cancer Surgery

Dr. Sara Javid Discusses Surgery Options for Breast Cancer Patients There?s a one in eight chance that a woman will have breast cancer in her lifetime. Most who do undergo some type of surgery to remove it. One option available is a lumpectomy, where only the tumor is removed, rather than the entire breast. This is typically followed by a course of radiation to the breast. Dr. Sara Javid, Surgical Oncologist at SCCA, states that after 25 years of follow up, we now know that this procedure is equally safe in terms of survival and recurrence risk of cancer in the breast. SCCA uses a multi disciplinary team approach to treating patients. This gives patients the full picture up front of what to expect and what options are available to them, empowering them to make choices as they move forward with their breast cancer treatment at SCCA.

Breast Cancer: ASCO 2012

Breast Cancer: ASCO 2012

Patient Power discusses breast cancer treatments that are making news at ASCO 2012 with Dr. Julie Gralow

Surgical Options for Breast Cancer

Surgical Options for Breast Cancer

Surgical oncologist, Dr. Kristine Calhoun, talks about the surgical options for breast cancer patients. Generally, most patients will have surgery as part of their breast cancer treatment. Dr. Calhoun breaks down treatment options into two parts -- how to treat the breast (lumpectomy or mastectomy), and treatment of the lymph nodes. She also discusses the different types of lumpectomies and mastectomies and briefly touches on the rates of recurrence post-treatment. .

Wire Localization Procedure

Wire Localization Procedure

When breast cancers cannot be felt, surgeons depend on wire localization to remove it. In this video, Dr. Kristine Calhoun walks through the process of wire localization. On the day of surgery, a radiologist, with the help of either an ultrasound or mammogram will locate the tumor and insert a guide wire and tape it in place. The wire allows the surgeon to triangulate the location of the tumor, determine where to make the incision, and where to remove tissue.

Sentinel Node Biopsy

Sentinel Node Biopsy

A sentinel node is the first lymph node to which breast cancer is likely to spread. In this video, Dr. Kristine Calhoun, discusses when just the sentinel lymph nodes need to be removed and when it's necessary to remove more lymph nodes.

Biological and Targeted Therapies

Biological and Targeted Therapies

Dr. VK Gadi is an oncologist who specializes in the treatment of breast cancer. In this video, Dr. Gadi explains how biologic or targeted therapies are designed to to go after specific vulnerabilities that are unique to the cancer. One therapy that Dr. Gadi is particularly excited about is the use of Herceptin for patients who have HER2-positive breast cancer. Herceptin is an monoclonal antibody which binds to the HER2 protein on the outside of a cancer cell. Once bound, it initiates a series of events that lead to the destruction of the cancer cell.

Clinical Studies for Breast Cancer

Clinical Studies for Breast Cancer

What is a clinical trial? Dr. VK Gadi addresses common misconceptions about clinical trials. He explains how cancer centers such as SCCA have access to not only phase III clinical trials, but phase I and phase II trials as well. Clinical trials provide access to novel drugs and treatments that are not commonly available. Dr. Gadi also explains how clinical trials are funded and how patients should not be worried about being stuck with the added burden of clinical trial expenses.

Chemotherapy for Breast Cancer

Chemotherapy for Breast Cancer

Dr. VK Gadi, a medical oncologist who specializes in caring for women with breast cancer, discusses chemotherapy. He explains that chemotherapy works by killing things are dividing rapidly, which is a characteristic of cancer cells. In most cases chemotherapy is effective at killing cancer cells, however there other cells in the body that divide rapidly, and that's where the toxicities of chemotherapy come in. Dr. Gadi tells how he helps his patients fight toxicities and avoid low white blood cell counts so they can live active, normal lives throughout their treatment.

Endocrine and Hormonal Therapies

Endocrine and Hormonal Therapies

Medical oncologists have three tools to fight breast cancer -- chemotherapy, endocrine therapy and hormone therapy. With hormone therapy, there are two strategies to get rid of hormone receptors that help cancer grow. Dr. VK Gadi describes these strategies including blocking the enzyme that turns pre-estrogen to active estrogen with a drug called Tamoxifen. The most serious side effects from treatment with Tamoxifen are blood clots, which occur in 2-3% of women taking the drug. Dr. Gadi discusses early warning indicators for these risks, and tells how he minimizes serious side effects with drugs such as aromatase inhibitors. He shares study results supporting his treatment strategy and points out the benefits to anti-estrogen therapy.

Breast Cancer Treatment

Breast Cancer Treatment

Dr. Larissa Korde discusses the options for treating breast cancer, including surgery, radiation, and systemic therapy. Surgically removing the tumor is one of the most important aspects of treating breast cancer and is almost always recommended. Radiation is used to target and kill any cancer cells that may remain after surgery. Radiation is always recommended after a lumpectomy, but often not recommended after a mastectomy. Following surgery, the local lymph nodes are evaluated--a procedure that's known as a sentinel lymph node biopsy--to see if the cancer has the potential to spread. Systemic therapies include chemotherapy, hormonal, and targeted therapies. Chemotherapy uses medicines to kill rapidly divining cells, but has toxicity and negative side effects. Hormonal therapies use pills to reduce hormone levels or block receptors, reducing the risk of recurrence by up to 50%. Targeted therapies are drugs specifically targeted to one abnormality, the most common of which is Herceptin.

The DIEP Flap Option for Breast Reconstruction

The DIEP Flap Option for Breast Reconstruction

Dr. Shannon Colohan describes the DIEP flap option for breast reconstruction, which is a tissue-based reconstruction technique.

Breast Tissue Expanders for Breast Reconstruction

Breast Tissue Expanders for Breast Reconstruction

Dr. Shannon Colohan explains the process for getting breast tissue expanders before getting implants for women who opt for implant-based reconstruction after recovering from breast cancer. 

Breast Cancer Radiation Therapy Videos

Radiation Treatment with Calypso

Radiation Treatment with Calypso

One side effect of exposing the heart to radiation is the increased risk of heart disease in the future. Seattle Cancer Care Alliance has developed a program for left sided breast cancers that can reduce the radiation exposure to the heart. Dr. Christine Fang explains how Calypso accurately tracks the patient's position using a small radio frequency transponder the size of a grain of rice. The SCCA is one of only three centers using this technique with Calypso.

Radiation Treatment with Calypso

Radiation Treatment with Calypso

Patient Power discusses the use of Calypso in treating breast cancer  patient with Dr. Christine Fang
Radiation Treatment with Calypso

Radiation Treatment with Calypso

Dr. Christine Fang discusses treating breast cancer patients using Calypso.

Radiation Treatment for Breast Cancer

Radiation Treatment for Breast Cancer

Radiation therapy plays an important role in curing breast cancer. It is used to sterilize the breast and surrounding tissues by eradicating any residual cancer cells left behind after complete surgery or chemotherapy. Dr. Janice Kim discusses radiation treatment including common side effects and the rate of recurrences.

Radiation Treatment with Calypso

Radiation Treatment with Calypso

Dr. Janice Kim, Radiation Oncologist, discusses the Calypso Localization Program at Seattle Cancer Care Alliance. Calypso is a technique that allows radiation oncologists to more effectively deliver radiation treatment while reducing exposure to secondary organs, such as the heart.

Breast Cancer Screening Videos

Mammography and Breast Density

Mammography and Breast Density

Dr. Janie Lee provides an overview of breast cancer screening recommendations, including considerations for women with dense breasts and new screening technologies.

Breast Cancer Screening with Dr. Larissa Korde

Breast Cancer Screening with Dr. Larissa Korde

Recommendations for Screening Mammography Dr. Larissa Korde discusses early detection of breast cancer in this KOMO interview. Currently in the United States about one in eight women will develop breast cancer. Many women don?t have the family history or personal risk factors associated with the disease. The American Cancer Society and Seattle Cancer Care Alliance guidelines recommend women begin screening mammography at age 40 and continue annually.

Breast Cancer Screening with Dr. Ben Anderson

Breast Cancer Screening with Dr. Ben Anderson

Dr. Ben Anderson explains why mammograms are so important. Mammograms are the fundamental tool for finding breast cancer early and it is early detection and treatment that saves lives. Early detectionnot allows women to live longer, it also requires less aggressive therapy techniques that can save the breast and avoid mastectomy. Dr. Anderson also discusses the virtues of digital mammography, and how they use less radiation and have been shown to be superior to analog methods.

Breast Cancer Screening with Dr. Constance Lehman

Breast Cancer Screening with Dr. Constance Lehman

How New Digital Mammogram Technology Helps Save Lives Studies have shown that we can actually find breast cancer better using digital technology than with film in certain groups of women, such as younger women and women with dense breast tissue. However if a woman doesn't have easy access to digital technology it's still important to get an mammogram once you have reached 40 years of age.
Breast Cancer Screening with Dr. Julie Gralow

Breast Cancer Screening with Dr. Julie Gralow

Annual Mammograms for Breast Cancer Screening Mammography is the best screening tool available for detecting breast cancer at its most curable stages. The value of early detection is well known but the percentage of women receiving annual mammograms is declining in recent years. There are several reasons behind the decline; fear, confusion and lack of health insurance. SCCA is working hard to reverse the trend by providing greater mammography information and access to women of all income levels.

BRCA Mutations and Breast Cancer

BRCA Mutations and Breast Cancer

Dr. Larissa Korde discusses BRCA mutations and breast cancer. There is a lot of focus on understanding genetic predispositions to breast cancer. Some red flags to possible inherited mutations include early onset of breast cancer in women less than age 40, bilateral breast cancer occurring on both sides, and both breast and ovarian cancers occurring in the same family. The most common gene mutations for breast cancer are BRCA1 and BRCA2 mutations. While BRCA mutations are the cause of only 5-10% of breast cancers, women with these mutations have a risk as high as 50-85% of developing breast cancer, and 10-40% of developing ovarian cancer. Women found to have a BRCA mutation can undergo a more aggressive screening program to diagnose cancer at an earlier and more treatable stage, or can consider taking a more proactive approach including prophylactic mastectomy or oophorectomy to reduce their risk.