Providing Compassionate Breast Care, Advanced Cancer Diagnostics and Treatment

What we have to offer:

  • Screening
  • Navigation
  • Medical Oncology (by referral)
  • Surgical Oncology
  • Breast Cancer Treatment
  • Multidisciplinary Team-Approach to Your Care
  • Access to Clinical Trials and Research through Sarah Cannon

askSARAH - Powered by Sarah Cannon - Ocala Health System is pleased to offer askSARAH — designed to help answer your cancer-related questions. Whether you want to know about treatment options or where to find care close to home, askSARAH can connect you directly to cancer specialists who can help.

Call (844) 484-4812 to speak to an askSARAH registered nurse specially trained to help with your cancer questions. Calls are confidential and nurses are available to speak 24/7.



Navigating your cancer journey from discovery to recovery. Ocala Health works together with Sarah Cannon, the Cancer Institute of HCA Healthcare, to provide experienced, compassionate nurse navigators to support patients as they go through the many stages of living with cancer. Your nurse navigator is your medical system advocate and will help you, and your family, understand each part of the cancer journey while compassionately supporting your physical, emotional, and spiritual needs.


Breast cancer is the second most common cancer and the second leading cause of cancer-related death in women, representing approximately 14 percent of all new cancer cases in the United States. Treatments for breast cancer have significantly advanced and survival rates have steadily improved since the 1990s. Early detection has contributed greatly.

What’s Normal and What’s Not

There is no "normal" or "standard" breast among women. Breasts differ in size, shape and density, and often one breast will be slightly different from its pair. Pregnancy as well as monthly cycles can change the size and tenderness of your breasts. If you have any concerns, share them with your healthcare provider.

Breast Cancer Screening

There are varying recommendations on mammogram screening guidelines from the American Cancer Society, U.S. Preventative Task Force and the American College of Obstetrics and Gynecologists. Sarah Cannon has made recommendations that center around the goal of catching cancers as early as possible, when less treatment is necessary for a better outcome. Sarah Cannon recommends an annual mammogram screening for women ages 40-74. Sarah Cannon also emphasizes the importance of conducting screenings using digital mammography which produces clearer images, resulting in fewer false positives and unnecessary biopsies than film mammography. A woman's decision to undergo screening should be made in consultation with her physician. Patients who are considered high-risk should consult their physician on when to begin screening.

Clinical Breast Exam (CBE)

Performed by your healthcare provider, it involves palpating the breast and the underarm areas (armpits) to check for lumps or any other abnormality. Mammogram is a X-ray of the breast used to find tumors too small to feel as well as ductal carcinoma in situ (DCIS), abnormal cells in the lining of a breast duct that can develop into invasive cancer. Digital breast tomosynthesis may be added to mammograms to improve images.

Breast Reconstruction

Breast reconstruction is a surgical procedure performed to create a natural breast shape, and allows for the comfort and ease of not wearing a prosthesis. The choice to undergo reconstructive surgery after a mastectomy or lumpectomy is a personal one. The breast health specialists in our program include general surgeons and plastic surgeons.

Integrated Services

Breast tumors, both cancerous and non-cancerous, are among the most common health problems women face today. Receiving a breast cancer diagnosis can be overwhelming, as you learn new terminology and determine the best treatment plan for you. Through our partnership with Sarah Cannon, the Cancer Institute of HCA Healthcare, we offer integrated breast cancer services with convenient access to cutting edge therapies for those facing breast cancer in our community. Our team of experts work together with Sarah Cannon's global network of cancer leaders to bring you the best care from diagnosis through survivorship. Our expert leaders from across specialties discuss individual cases in multidisciplinary conferences so that you can be assured you are getting the best treatment possible.

Clinical Trials

Ocala Health is powered by Sarah Cannon- a global leader in cancer research and has been serving patients in the community for more than 25 years. We offer physicians and their patients' access to a robust trial menu that investigates more than 200+ unique agents through trials each year. As trusted experts in the field of oncology research, Sarah Cannon has conducted more than 300 first-in-man trials to date and been a clinical trial leader in the majority of approved cancer therapies over the last decade.

Advanced Breast Cancer Treatments

Our multidisciplinary team of specialists in medical, surgical and radiation oncology, plastic surgery, breast imaging, pathology, genetic counseling and physical medicine work together to consider multiple factors in determining the best treatment plan for each patient, including stage of the cancer, family history and past medical history. Let our healthcare team assist you in finding the right treatment for you. Available Treatments include:

  • High-Risk Screening & Evaluation
  • Advanced Diagnostic Services
  • Breast Surgery & Reconstruction
  • Medical Oncology (by referral)
  • Radiation Oncology (offered by referral)
  • Clinical Trials
  • Survivorship
  • Physical Rehabilitation


Types of Breast Cancer

  • HER2- positive breast cancer
  • Hormone receptor- positive/ER-positive breast cancer
  • Triple-negative breast cancer
  • Breast cancers caused by BRCA genetic mutations
  • Inflammatory breast cancer
  • Breast cancer in men
  • Rare breast tumors
  • Anaplastic large call lymphoma

There are many types of benign breast conditions. Your health care provider may use the term fibrocystic change to describe a range of benign breast conditions.



The patient stands in front of the mammography unit, and a technologist uncovers the breast to be scanned and places it on a clear plastic plate. Then a second plate lowers until the breast is pressed between the two plastic plates. Images are taken of each breast from the front and the side.

TIP: If your breasts are tender or swollen due to your menstrual cycle, consider rescheduling your mammogram to the week following your menstrual cycle.

Breast Magnetic Resonance Imaging (Breast MRI)

Used for women at higher risk of breast cancer, as a breast cancer staging tool, or to identify lesions in women who have already been diagnosed with breast cancer. The breast MRI creates three-dimensional, detailed images of the breast using a magnet connected to a computer. Sometimes the doctor may order a Breast MRI with contrast, meaning that a contrast dye will be injected into your body through an IV.

TIP: Even if you are at higher risk, you still need to have regular mammograms in addition to any other recommended screening tests.

Breast Ultrasound

Generally used for women with lumps or abnormalities identified during a breast self-exam, clinical breast exam or mammogram. The test bounces sound waves off the breast tissue to create a picture called a sonogram. You'll lie down on a table, raise your hands above your head, and have a water-based gel applied to the area. Then, the radiologist or sonographer will run the transducer over your breast.

TIP: A breast ultrasound does not replace regular mammograms.

You should receive an annual mammogram beginning at age 40. If you are at a high risk of breast cancer, consult your physician.

  • Prior personal history of breast cancer, or other abnormalities in the breast tissue
  • A high proportion of dense breast tissue instead of fatty tissue
  • Previous breast exposure to radiation therapy before age 30
  • Pregnancy after age 30, or no pregnancy at all
  • Absence of breastfeeding
  • Overweight, particularly after menopause
  • Increased exposure to estrogen, first period before age 13, menopause after age 51, prolonged hormone replacement therapy
  • Previous biopsy results that indicate atypical hyperplasia, lobular carcinoma in situ, or radial scar formation

Dress for comfort. Depending on the type of mammogram, you may only need to remove your top. If you are having a mammogram, don't wear deodorant, perfume, or powder. However, if you forget, many centers provide cleansing cloths for this purpose.

Call (844) 484-4812 to speak to an askSARAH registered nurse specially trained to help with your cancer questions.