Breast Care

Providing surgical consultation and treatment
of benign and malignant breast disease


David Crooks, MD
Meeghan Lautner, MD
Karen L. Gutierrez, FNP, AGN ANCC-BC
Danielle Paolini, PA


Our team of board certified healthcare professionals provides compassionate, well-rounded care for breast disease that is
tailored to each patient. 

We can coordinate same day appointments with breast imaging as well as medical and radiation oncology to help optimize your care and busy schedule.

In addition to top notch surgical breast care, we have access to patient education and assistance resources, wellness and
survivorship services such as nutrition, physical therapy, psychology, breast prosthesis, wigs and several support groups just to name a few.

Treatment of benign breast disease such as:

  • Fibrocystic disease
  • Fibroadenoma
  • Nipple discharge
  • Breast pain

A multidisciplinary approach to breast cancer treatment.


Genetic Testing for Hereditary Breast
and Ovarian Cancer Syndrome (HBOC)

Who Should Have Genetic Testing?

The decision to pursue genetic testing is based on a personal or family history of cancer, as well as a blood relative with a known HBOC genetic mutation. If there is a personal history or a close family member diagnosed with any of the HBOC related cancers, genetic evaluation and testing are recommended.

The testing process starts with a comprehensive family history used to assess personal risk and qualification for testing. Once genetic testing is complete, the results will form the basis for establishing future cancer screening recommendations and options for any course of treatment needed. 

What are BRCA1 and BRCA2?

BRCA1 and BRCA2 are human genes within the HBOC family of genes that, when a mutation is present, greatly increases the risk for developing cancers, such as breast, ovarian, pancreatic, prostate and melanoma. The genetic mutations of BRCA1 and BRCA2 are hereditary and can be passed down from generation to generation similar to eye color. Genetic testing, therefore, is done to determine if the inherited gene mutations are present. It is not only a powerful tool in identifying the elevated risk for the HBOC related cancers but can also provide critical information necessary for personalized medical care and appropriate treatment options. 

Please contact 716.884.3000 to find out more about genetic testing or to schedule an appointment. 


Breast Care News

Family Nurse Practitioner Karen Gutierrez was a guest on, “Slice of Life,” a podcast hosted by Brenda Alesii on ESPN-1520. Karen appeared on the June 29 show to discuss a wide-range of issues related to women’s health, specifically her work in the practice of breast care.

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Dr. Meeghan Lautner and the team of doctors at General Physicians PC Breast Care Clinic provides surgical consultation and treatment of benign and malignant breast disease in a convenient, comfortable setting.  

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Linda Pellegrino visits General Physicians Breast Cancer Clinic. She talks with Dr. Meeghan Lautner and Karen Gutierrez, nurse practitioner, about genetics testing for breast cancer and early detection treatment.

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