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Oct 14, 2025

Beyond the diagnosis: Patient-centered breast cancer care in Fayetteville

Sponsored Content provided by Elizabeth M. Sawyer, MD , Cape Fear Valley Health

For Breast Cancer Awareness Month, Cape Fear Valley Health’s breast care program stands out as a regional leader in patient care, innovation and community impact. 

Cape Fear Valley Health is accredited by the NAPBC (National Accreditation Program for Breast Centers) and combines advanced surgical techniques with a comprehensive, team-based approach. Each year, the team cares for approximately 250 new breast cancer patients from Fayetteville and surrounding counties. 

The program employs a multidisciplinary approach, with surgery, chemotherapy, endocrine therapy and radiation all available as needed, depending on the specific type of breast cancer. Breast cancer patients require surgery 100% of the time, and because of this, the surgeon often serves as the initial point of contact and coordinates care with other specialists to ensure the best outcomes.

There are two approaches to the surgery patients must undergo. Some patients are eligible for lumpectomies, where the surgeon removes the area of the breast that has the tumor and a normal rim of tissue around it. Lumpectomies generally have to be partnered with radiation in order to be as effective as a mastectomy. Mastectomies involve the entire removal of the breast tissue. Some patients are given the choice between which surgical method they undergo, while others are required to undergo a mastectomy due to the nature of the cancer they are dealing with. Immediate or delayed reconstruction is available following surgery, and the program is known for innovative surgical methods that minimize visible scarring, helping patients maintain their sense of identity and body image. 

Beyond surgical excellence, the program is committed to continuous improvement and patient comfort. Recent advancements include a partnership with the anesthesiologists to implement the use of nerve blocks during surgery, which significantly reduce post-operative pain and the need for narcotics. This allows patients, many of whom are working women or caregivers, to recover more quickly and return to their daily lives with minimal disruption. Additionally, the program provides the same high standard of care to all patients, regardless of their insurance status or socioeconomic background.

Early detection is incredibly important. Women are encouraged to undergo a formal risk assessment by age 25 and begin annual mammograms at age 40, or earlier if they have a family history of breast cancer. However, about 80% of women diagnosed with breast cancer do not have a family history of the disease, which is why regular screening is essential. There is no upper age limit for mammograms, and any new breast changes between screenings should be promptly evaluated.

Monthly self-exams can also help women become familiar with their bodies and notice any changes. While some breast changes are normal, especially in menstruating women, persistent or concerning findings should always be checked by a healthcare provider.

Cape Fear Valley Health’s breast care program exemplifies a patient-centered, innovative approach to care, ensuring that every patient receives personalized treatment and support throughout their journey.

To learn more, visit 

https://www.capefearvalley.com/breastcare

 

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