Breast Pathology

The Breast Pathology Service provides comprehensive expertise for the diagnosis and evaluation of breast diseases. It is the provider of breast disease diagnoses for Brigham and Women’s Hospital and for the Dana-Farber Cancer Institute’s Susan F. Smith Center For Women’s Cancers. The Breast Service also provides national and international consultations for difficult and challenging breast diseases with diagnoses provided by a team of internationally recognized, highly experienced breast pathologists. 

Available resources for diagnosis include breast pathology experts with over 90 years of combined experience between them, access to an unparalleled range of immunohistochemical studies, and prognostic fluorescence in situ hybridization for HER2. In addition, for patients seen in consultation at DFCI’s Susan F. Smith Center For Women’s Cancers, breast cancers can also be tested for a wide range of genetic changes in the Department's Center for Advanced Molecular Diagnostics. The Breast Service currently handles over 6000 cases a year, 3500 of which are second opinion diagnoses and over 2000 are core needle biopsy primary diagnoses.

The Breast Pathology Service is an integral and critical part of the care of breast cancer patients being seen at DFCI’s Susan F. Smith Center For Women’s Cancers, which provides consultations in medical oncology, surgical oncology, breast reconstruction, radiation oncology, and breast imaging.  BWH/DFCI Breast pathology cases are discussed at weekly tumor boards to obtain consensus for treatment by treating clinicians. Bi-weekly radiology/pathology correlation conferences are an essential part of quality assurance in breast disease diagnosis. Patients undergoing breast imaging with subsequent biopsy procedures performed can be confident their biopsy specimen findings are carefully reviewed by the expert radiology and pathology teams for concordance between imaging and pathology findings.

Consultations / Second Opinion
Pathologists Requesting Diagnostic Assistance and Clinicians Requesting Second Opinions
DFCI/BWH Clinicians Requesting Second Opinions
Results Reporting
How to Send Materials For Consultation

Fellowship and Observership Information

There are currently two breast pathology fellows working full-time on the Breast Service, and additional bi-weekly rotating residents. We offer a competitive one-year fellowship training opportunity in diagnostic breast pathology to both internal and external pathology residents in training.  Information on Breast Pathology Fellowships can be found here.

Contact Information

Breast Service Administrator
Phone: 617-732-8938
Fax: 617-264-5118

Mailing Address:
The Breast Pathology Service
Brigham and Women's Hospital
Department of Pathology
75 Francis Street
Boston, MA 02115

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