Care Team

Meet Our Breast Cancer Care Coordinators

Image: Natalie Roach, RN, Breast Cancer Care Coordinator Image: Dulce Panergo, RN, Breast Cancer Care Coordinator
Natalie Roach, RN   Dulce Panergo, RN

Breast Cancer Nurse Coordinators
(206) 223-8862

Your pathway through assessment, diagnosis, staging, and treatment at Virginia Mason is facilitated and guided by your breast cancer nurse coordinator. This person also acts as your medical center liaison to answer questions that you and your family may have during your treatment.

About Our Physicians and Staff
The Floyd & Delores Jones Cancer Institute at Virginia Mason in Seattle offers a comprehensive approach to the treatment of breast cancer, from early detection programs to the latest in cancer treatment. As such, you will be treated by a team of dedicated specialists that coordinates your care from the moment you walk in the door. Contact us by calling (206) 223-8862.

Members of your breast cancer team include:

Breast Cancer Surgeons
Your surgeon has a special expertise in state-of-the-art therapies for breast cancer, including sentinel node biopsy and skin-sparing mastectomy. Fortunately, women have more options for surgical treatment today than ever before.

Medical Oncologists
Your oncologist is trained in the use of chemotherapy and other drug therapies for fighting cancer. Although surgery is the main treatment for breast cancer, you may need additional treatment with cancer-fighting drugs, which your medical oncologist will discuss with you. In addition, Virginia Mason regularly participates in large cooperative cancer trials sponsored by the National Cancer Institute, making new therapies, and new combinations of therapies, available to patients.

Radiation Oncologists
Your radiation oncologist uses radiation to treat breast cancer. Radiation is used in addition to surgery for many breast cancers. Virginia Mason’s Section of Radiation Oncology also is actively involved in new clinical trials for treating cancer.

Breast Radiologist
Your breast imager uses different imaging techniques for evaluation, including mammography, ultrasound, MRI (magnetic resonance imaging), and PET (positron emission tomography) scan.

Pathologist
This physician examines slides of biopsy and surgical specimens under a microscope and makes the definitive diagnosis regarding the presence or absence of cancer. The pathologist also provides important information, such as cancer type, stage, adequacy of excision, and marker profile, which guides the treatment decisions of your surgeon, radiation oncologist and medical oncologist.

Plastic and Reconstructive Surgeons
This surgical specialist performs a variety of procedures for breast reconstruction such as implant reconstruction and various flaps (TRAM and DIEAP)depending on the needs of each breast cancer patient. He or she coordinates your breast reconstruction with other aspects of your care, including chemotherapy or radiation therapy.

Breast Imaging Coordinator
This individual coordinates your imaging studies and biopsies with other members of your Breast Cancer Team.

Hereditary Cancer Risk Consultant
This individual has specialized training in cancer genetics and counsels patients about inherited factors for certain types of cancer, including breast cancer.

Oncology Social Worker
Your oncology social worker offers psychosocial support and is a resource for services available online and in the community.