Breast Cancer Survivor

Hear Angie describe how the nurse navigators at North Central Baptist Hospital helped her through her journey with breast cancer. 

At the Baptist Breast Center, we want to be your home for comprehensive and compassionate breast health care. Whether you’re concerned about your risk of developing breast cancer, interested in prevention information, or have received a diagnosis of cancer and are exploring treatment options, we have the resources to help you and your loved ones. For all your questions and concerns, the Baptist Breast Center is here for you — offering high-quality breast care, centered around you.

What makes our program unique? We understand the challenges you face and while we are devoted to the fight against cancer, our focus is entirely on the personalized health care needs of you, your family and our community.

Why Choose Baptist Breast Center?

We know you have a choice when it comes to where you receive breast care. And we know that when it comes to your breast health, only high-quality care will do. Here are a few reasons why Baptist should be your first choice in breast care:

  • Dedicated and experienced nurse navigators with OCN certification to help you on your journey from diagnosis to survivorship
  • A multidisciplinary approach to the coordination of care for patients and their families
  • Multiple locations around San Antonio to provide quality breast care closer to home
  • Early detection and risk reduction for breast cancer through mammography, cancer risk assessments, genetic testing and other screenings.
  • Access to a variety of support groups and classes for breast cancer survivors and family members.
  • Coordination of services from various providers such as: cardio-oncologists, fertility specialists and physical and occupational therapists, as well as coordination of follow-up care for high-risk patients, as needed.

Cancer Patient Navigators

At Baptist Breast Center, your breast care team will include a dedicated group of doctors, nurses and specialists who will work with you to create a treatment plan tailored to your unique needs. You’ll also receive your own Breast Care Nurse Navigator who is an experienced oncology nurse to walk with you on your breast health journey.

Andrea Kassem, RN, OCN, CBCN, NBC-HWC
Lead Oncology Navigator


Photo of Andrea Kassem, RN, OCN, CBCN, NBC-HWC
Kayla Byrd, RN, OCN
Oncology Nurse Navigator

Photo of Kayla Byrd, RN, OCN

Genetic Testing

Are you concerned about your cancer risk? We can help. At Baptist Health System, certified genetic counselors are available to work with you to create a personalized care plan aimed at lowering your likelihood of developing cancer or detecting cancer sooner, when it’s most treatable. Our goal is to empower you to make informed decisions based on your unique health care needs, desires and risk level.

During a genetic counseling session, you may discuss:

  • Personal and family history of all types of cancer
  • A cancer risk assessment based on personal risk factors and family history
  • Screening and risk-reducing options available to manage cancer risk
  • Identification of family members who may be at increased risk
  • Genetic testing if medically appropriate and covered by insurance

What Are the Signs and Symptoms of Breast Cancer?

Breast cancer may not cause any symptoms in its early stages. Some breast changes can be felt, but most can be detected only with the use of imaging procedures, such as a mammogram, MRI or ultrasound. While it’s important to do breast-self exams, they are not a substitute for mammograms.

Schedule a Mammogram

Fill out a contact form and we’ll call you to refer a doctor.

If you have any of the following symptoms, see your doctor right away:

  • New lump in the breast or underarm
  • Thickening or swelling of part of the breast
  • Irritation, itching or dimpling of breast skin
  • Redness or flaky skin in the nipple area or the breast
  • Pulling in of the nipple or pain in the nipple area
  • Nipple discharge other than breast milk, including blood
  • Any change in the size of the shape of the breast
  • Pain in any area of the breast

What Do Lumps in My Breast Mean?

Lumps come in different shapes and sizes. Although lumps may point to cancer, many other conditions can cause lumps in the breast. Note that normal breast tissue can sometimes feel lumpy too. Some of the conditions that cause breast lumps are fibrocystic breasts and cysts.

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Breast Cancer Risk Factors

A risk factor is anything that increases your chance of developing a disease or condition such as breast cancer but does not necessarily mean that you will develop a disease or condition. While most risk factors for breast cancer are out of your control, there are still things that you can do to lower the risk of having breast cancer.

Breast Cancer Risk Factors You Cannot Change


Being a woman is the greatest risk factor in developing breast cancer. This is because the women’s breasts are constantly changing and growing due to the hormones estrogen and progesterone. Men can also develop breast cancer, but the risks are significantly low because their breasts don’t have much activity.


The risk of developing breast cancer increases with age. Most breast cancers are diagnosed after the age 50. When in your 30s, the risk of getting breast cancer is 1 in 228 or 44%. As you age, the percentage rate increases. The greatest mortality reduction, the most lives saved and the most life years gained occur with yearly mammography starting at age 40.

Genetic Mutation

Breast cancer is thought to be hereditary, which means it results directly from gene mutations from parents. BRCA1 or BRCA2 are two different genes and the most common cause of hereditary breast cancer. In normal circumstances, these genes help in producing proteins which repair DNA damage. However, mutations of these genes can cause abnormal cell growth which causes cancer.

Reproductive History

Early menstrual period, before age 12, and late menopausal period, after age 55, causes women to be exposed to hormones longer, which increases the risk for breast cancer.

Dense Breasts

Breasts are made up of fatty, fibrous and glandular tissues. Denser breasts means that the breast has more fibrous and glandular tissues than fatty tissues. This makes the breast appear denser in mammograms. Women with dense breasts have a higher risk of about 1.5 to 2 times than that of the women with average breast density. Denser breasts are also harder to examine in mammograms than average density breasts.

History of Breast Cancer or Certain Noncancerous Breast Diseases

Women who have had breast cancer once have an increased risk of getting breast cancer a second time. Noncancerous diseases that can increase risk for breast cancer includes atypical hyperplasia or lobular carcinoma.

Family History of Breast Cancer and Ovarian Cancer

The risk of developing breast cancer increases when a female first-degree relative or multiple females in the family tree have breast cancer. A male first-degree relative with breast cancer also can increase the risk of having breast cancer.

Previous Treatments Using Radiation Therapy

People who are treated with radiation therapy in the chest for another cancer increases the risk of developing breast cancer. Teenagers or young adults who are treated with radiation therapy when the breast is still developing are at a significantly higher risk of developing cancer. Women who received radiation therapy after 40 do not have an increased risk of developing breast cancer.

Drug diethylstilbestrol (DES) Exposure

The drug diethylstilbestrol (DES), an estrogen-like drug, was given to pregnant women in the 1940s to early 1970s because it was known to lessen the risk of miscarriage. Women who took this drug have a slightly higher risk of getting breast cancer.


White women have a slightly higher risk of developing breast cancer than African-American women.

Pregnancy and Breastfeeding

Pregnancy and breastfeeding reduces the number of menstrual cycles in a lifetime, which reduces the risk of getting breast cancer. Changes and growth of the breasts are connected with the hormones estrogen and progesterone. For women who breastfeed, the risk lowers especially if they continue to breastfeed in 1.5 to 2 years.

Breast Cancer Risk Factors You Can Change


Fat tissues are the source of estrogen after menopause. Having higher fat tissues means having higher estrogen levels, which can increase the risk of breast cancer.


The American Cancer Society suggests 45-60 minutes of exercise five or more days a week. Engaging in physical activity regularly decreases the risk of getting breast cancer.

Alcohol Consumption

Alcohol limits the liver’s ability to control blood levels of the hormone estrogen, which increases the risk of breast cancer.


Smoking is associated with a small increase in developing breast cancer.

Recent Oral Contraceptive Use

Recent oral contraceptive use increases the risk of developing breast cancer. Women who stopped using oral contraceptives more than 10 years ago do not have any breast cancer risk.

Stress and Anxiety

There is no clear proof that stress and anxiety increase the risk of getting breast cancer, but they can affect the quality of life. A better quality of life helps strengthen the immune system, which decreases the risk for a number of diseases.

Breast Cancer Risk Factors with Unclear Effects

Chemicals in the Environment

In theory, chemicals in the environment that have estrogen-like properties increase the risk of breast cancer. These substances are found on plastics, cosmetics, personal care products, pesticides and polychlorinated biphenyls (PCBs). Research about the connection of these substances and breast cancer is still ongoing.

Night Shift Work

People who work at night might have higher risks of developing breast cancer. This is still an active area of research, but in theory, the inconsistency of the melatonin production may increase the risk for developing breast cancer.

Being Taller

Taller women have greater risk of developing breast cancer than short women. The reasons are not clear, though it may have to do with nutrition, growth and hormonal and genetic factors.

Though the incidence of breast cancer increases substantially around age 40 and even earlier for high-risk women, there is no established age for women to stop screening. Women should continue breast cancer mammography screening as long as they are healthy. Early detection and lifestyle changes may reduce the risk of disease and offer time to treat it effectively. Screening tests are done to detect potential health disorders or diseases in people who do not have any symptoms.

Take control. Schedule a screening.

American Cancer Society
Centers for Disease Control and Prevention