Resource Blog/Media/MCI Habibi Mautner Mahtani Breast Cancer Prevention HERO

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Breast Cancer Prevention: Supporting Young Women Via Proactive, Personalized Care

Baptist Health Miami Cancer Institute

Breast cancer is often associated with later stages of life. But for many women, risk begins much earlier. Family history, genetic mutations, prior radiation exposure and certain high-risk breast conditions can significantly increase the likelihood of developing breast cancer — even before routine screening typically begins.

The Breast Cancer Prevention Clinic, part of Baptist Health Miami Cancer Institute, offers comprehensive, personalized care for individuals at increased risk of breast cancer. The Clinic is staffed by highly qualified Advanced Practice Providers (APPs) — licensed healthcare professionals with advanced education and training, including Nurse Practitioners (NPs) and Physician Assistants (PAs).

Separately, the Young Women’s Breast Cancer Program provides specialized coordination and support tailored to the unique needs of younger women following a breast cancer diagnosis.

“The entire concept of multidisciplinary care actually came from breast cancer care. We broke the silos of surgery, medical oncology and radiation to work together—from the patient’s first encounter through their entire journey.”
Mehran Habibi, M.D., chief of breast surgery, Baptist Health Miami Cancer Institute; deputy chief of breast surgery, Baptist Health Cancer Care

These programs are helping close critical gaps in awareness, access and long-term prevention — empowering patients to take control of their breast health earlier than ever before.

At Baptist Health Cancer Care, which includes Miami Cancer Institute and the Eugene M. & Christine E. Lynn Cancer Institute at Boca Raton Regional Hospital, part of Baptist Health, a collaborative, multidisciplinary team approach is fundamental to providing comprehensive and personalized patient care.

“The entire concept of multidisciplinary care actually came from breast cancer care — we broke the silos of surgery, medical oncology and radiation to work together,” explains breast surgical oncologist Mehran Habibi, M.D., chief of breast surgery at Miami Cancer Institute and deputy chief of breast surgery for Baptist Health Cancer Care. “Radiology, pathology, surgery, medical oncology, radiation oncology, reconstructive surgery — all must work closely from the first encounter through the entire journey.”

The Young Women’s Breast Cancer Program is led by Starr Mautner, M.D., and Reshma Mahtani, D.O..

About 10 percent of all new breast cancer diagnoses occur in women under 45, according to the American Cancer Society. At Miami Cancer Institute, the number is even higher — 13 percent. While deaths from breast cancer have been declining, it is still the second-leading cause of cancer death in women (behind only lung cancer), killing more than 42,000 women a year in the U.S.

“I see several women in my clinic each week under the age of 45,” said Dr. Mautner, a breast surgical oncologist with the Institute. “A lot of these patients are coming in with aggressive cancers that they have found themselves because they aren’t of screening age yet. By the time they feel a mass, the cancer can be more advanced than if caught early with a mammogram or other imaging.”

A Proactive Approach to Breast Cancer Prevention

The Breast Cancer Prevention Clinic is dedicated to caring for individuals who do not have breast cancer but are considered at higher-than-average risk of developing the disease.

This includes patients with:

  • Known breast cancer genetic mutations
  • A strong family history of breast cancer, even without an identifiable mutation
  • A calculated breast cancer risk greater than 20 percent using validated risk models
  • A history of mantle radiation therapy at a young age
  • High-risk breast conditions such as atypical ductal hyperplasia or lobular neoplasia
  • Biopsy findings showing atypical or abnormal breast cells

Rather than a one-size-fits-all model, the clinic focuses on personalized risk assessment and long-term monitoring, helping patients understand their risk and take evidence-based steps to reduce it.

Care Designed for Younger Patients

Younger women at increased risk often face unique challenges — including uncertainty about when to begin screening, concerns about fertility and family planning, and difficulty navigating fragmented care across multiple providers.

I see several women in my clinic each week under the age of 45, a lot of them with aggressive cancers they found themselves because they aren’t of screening age yet. By the time they feel a mass, the cancer can be more advanced than if caught early with a mammogram or other imaging.
Starr Mautner, M.D., breast surgical oncologist, Baptist Health Miami Cancer Institute

To address these needs, Miami Cancer Institute developed the Young Women’s Breast Cancer Program. The program is designed to provide better care coordination, education and continuity for younger patients who require earlier or more intensive surveillance.

“Through this program, we are not only providing compassionate, coordinated care, but also creating a database of young patients that captures clinical and genomic information,” said Dr. Mahtani, chief of breast medical oncology at the Institute. “This will give us the ability to ask and answer important research questions in the future about why breast cancer is increasing in this population and how we can improve outcomes.”

Early treatment is vital for young women hoping to become mothers, adds Dr. Mautner. “You have patients who have not had children yet and they’d like to become mothers. These conversations can be overwhelming. You may be discussing whether they will store their eggs or embryos or look at surrogacy — at the same time they are dealing with a breast cancer diagnosis.”

Patients in the Young Women’s Breast Cancer Program benefit from:

  • Individualized breast health plans based on age, risk factors and life stage
  • Coordinated screening and follow-up care
  • Education tailored to prevention, lifestyle modification and risk reduction
  • Emotional and psychological support during periods of heightened anxiety
  • Seamless referrals to subspecialists when needed

By embedding this program within the Prevention Clinic, patients receive consistent care over time — even as their risk profile or needs evolve.

What’s New: An APP-Led Prevention Clinic Model

One of the most important developments at the Breast Cancer Prevention Clinic is its Advanced Practice Provider (APP)-led care model.

The clinic is staffed by highly trained nurse practitioners and physician assistants with expertise in women’s health, breast cancer risk assessment and preventive care. This approach allows the clinic to expand access while maintaining a high level of personalized attention.

 

“Younger women at increased risk often face unique challenges—including uncertainty about when to begin screening, concerns about fertility and family planning, and difficulty navigating fragmented care across multiple providers.”
Reshma L. Mahtani, D.O., medical oncologist at Baptist Health Miami Cancer Institute; chief of breast medical oncology at Baptist Health Wellness and Medical Complex

APP-led care offers several advantages:

  • Greater appointment availability and reduced wait times
  • Longitudinal relationships with providers who follow patients over time
  • Visits designed for education, shared decision-making and prevention planning
  • Close collaboration with physicians and subspecialists across Miami Cancer Institute

This model is fully integrated within the Institute’s multidisciplinary framework. APPs work in collaboration with experts in breast surgery, reconstructive surgery, medical oncology, gynecologic oncology and genetics, ensuring patients have access to advanced expertise whenever it is needed.

Comprehensive, Evidence-Based Services

The Breast Cancer Prevention Clinic provides a wide range of services designed to support patients at every stage of risk assessment and prevention, including:

  • Personalized breast cancer risk assessment
  • Comprehensive physical exams, including thorough breast exams
  • Advanced breast imaging when appropriate
  • Genetic education and counseling by certified genetic counselors and medical geneticists
  • Individualized breast health plans with structured follow-up
  • Nutritional, emotional and psychological support services
  • Evidence-based risk-reduction strategies, including enhanced monitoring, lifestyle modifications, chemoprevention and referrals for surgical consultation when indicated

All care follows National Comprehensive Cancer Network (NCCN) guidelines, ensuring patients receive the most current, evidence-based recommendations for breast health and prevention.

Meeting Patients Where They Are

Recognizing the demands of modern life — especially for younger women balancing careers, families and caregiving responsibilities — the clinic offers virtual appointments upon request. This flexibility makes it easier for patients to stay engaged in their care and maintain continuity over time.

The clinic’s prevention-focused philosophy emphasizes education and empowerment, helping patients make informed decisions today that can significantly impact their future health.

Increasing Awareness, Expanding Impact

Despite the depth and scope of services offered, many people in the community remain unaware that specialized breast cancer prevention care is available — particularly for younger women who may not yet qualify for routine screening.

By increasing awareness of the Breast Cancer Prevention Clinic and the Young Women’s Breast Cancer Program, Miami Cancer Institute hopes to encourage earlier referrals, proactive risk assessment and informed prevention strategies.

Early engagement doesn’t just improve outcomes — it reduces anxiety, builds trust and gives patients confidence in their care plan.

How to Access Care

Patients interested in the Breast Cancer Prevention Clinic or the Young Women’s Breast Cancer Program can call 786-596-2000 to schedule an appointment.

Physicians may refer patients by calling 786-573-6125 or emailing MCIPhysicianConnect@BaptistHealth.net. Virtual visits are available upon request, and international patients are also welcome.

Next Steps
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