Dr. Amanda J. Wheeler is a board certified surgeon who specializes in the surgical management of breast disease.

She completed her general surgical residency at Stanford University. To further her career in the treatment of breast cancer she was awarded a Surgical Society of Oncology accredited fellowship in Breast Surgical Oncology at the Harvard affiliated hospitals; Dana Farber Cancer Institute, Brigham and Women’s Hospital and Massachusetts General Hospital. She is actively involved in clinical research and serves on the Education Committee for the American Society of Breast Surgeons. Her published research includes; the impact of screening mammography on the morbidity and mortality of breast cancer, utilization of breast MRI, the link between obesity and breast cancer and risk factors among the African American population for breast cancer. She has also written multiple chapters in leading textbooks and collaborated with other nationally recognized experts at MD Anderson, Memorial Sloan Kettering, Stanford University and Harvard University.

Dr. Wheeler previously was the Medical Director of the Meridian Park Legacy Breast Cancer Program and was in private practice in Portland, Oregon for five years before returning to Stanford. She enjoys playing golf, painting and yoga.

Clinical Focus

  • Cancer > Breast Cancer
  • General Surgery
  • oncoplastic surgery
  • hi risk breast cancer
  • young women with breast cancer

Academic Appointments

Administrative Appointments

  • Education Committee, American Society of Breast Surgeons (2009 - Present)

Boards, Advisory Committees, Professional Organizations

  • Member, American Society of Breast Surgeons (2009 - Present)
  • Member, American Society of Breast Diseases (2009 - Present)
  • Member, American Society of Clinical Oncology (2009 - Present)
  • Member, American College of Surgeons (2008 - Present)

Professional Education

  • Fellowship, Harvard Cancer Institute: MGH, BWH, Dana Farber Cancer Institute, Breast Surgical Oncology (2009)
  • Board Certification: General Surgery, American Board of Surgery (2008)
  • Residency:Stanford Hospital and Clinics - Dept of Surgery (2008) CA
  • Internship:Maricopa Medical Center (2003) AZ
  • Medical Education:Oregon Health Science University (2002) OR


All Publications

  • A Review of Anatomy, Physiology, and Benign Pathology of the Nipple ANNALS OF SURGICAL ONCOLOGY Stone, K., Wheeler, A. 2015; 22 (10): 3236-3240


    The nipple and areola are pigmented areas of modified skin that connect with the underlying gland of the breast via ducts. The fairly common congenital anomalies of the nipple include inversion, clefts, and supernumerary nipples. The anatomy of the nipple areolar complex is discussed as a foundation to review anatomical variants, and the physiologic development of the nipple, including changes in puberty and pregnancy, as well as the basis of normal physiologic discharge, are addressed. Skin conditions affecting the nipple include eczema, which, while similar to eczema occurring elsewhere on the body, poses unique aspects in terms of diagnosis and treatment. This article concludes with discussion on the benign abnormalities that develop within the nipple, including intraductal papilloma and nipple adenoma.

    View details for DOI 10.1245/s10434-015-4760-4

    View details for Web of Science ID 000360303800014

    View details for PubMedID 26242366

  • Initial Results with Preoperative Tattooing of Biopsied Axillary Lymph Nodes and Correlation to Sentinel Lymph Nodes in Breast Cancer Patients ANNALS OF SURGICAL ONCOLOGY Choy, N., Lipson, J., Porter, C., Ozawa, M., Kieryn, A., Pal, S., Kao, J., Trinh, L., Wheeler, A., Ikeda, D., Jensen, K., Allison, K., Wapnir, I. 2015; 22 (2): 377-382


    Pretreatment evaluation of axillary lymph nodes (ALNs) and marking of biopsied nodes in patients with newly diagnosed breast cancer is becoming routine practice. We sought to test tattooing of biopsied ALNs with a sterile black carbon suspension (Spot™). The intraoperative success of identifying tattooed ALNs and their concordance to sentinel nodes was determined.Women with suspicious ALNs and newly diagnosed breast cancer underwent palpation and/or ultrasound-guided fine needle aspiration or core needle biopsy, followed by injection of 0.1 to 0.5 ml of Spot™ ink into the cortex of ALNs and adjacent soft tissue. Group I underwent surgery first, and group II underwent neoadjuvant therapy followed by surgery. Identification of black pigment and concordance between sentinel and tattooed nodes was evaluated.Twenty-eight patients were tattooed, 16 in group I and 12 in group II. Seventeen cases had evidence of atypia or metastases, 8 (50 %) in group I and 9 (75 %) in group II. Average number of days from tattooing to surgery was 22.9 (group I) and 130 (group II). Black tattoo ink was visualized intraoperatively in all cases, except one case with microscopic black pigment only. Fourteen group I and 10 group II patients had black pigment on histological examination of ALNs. Sentinel nodes corresponded to tattooed nodes in all except one group I patient with a tattooed non-sentinel node.Tattooed nodes are visible intraoperatively, even months later. This approach obviates the need for additional localization procedures during axillary staging.

    View details for DOI 10.1245/s10434-014-4034-6

    View details for Web of Science ID 000347817900007

    View details for PubMedID 25164040

  • Right Breast Mastectomy and Reconstruction with Tissue Expander under Thoracic Paravertebral Blocks in a 12-Week Parturient. Case reports in anesthesiology Webb, C. A., Weyker, P. D., Cohn, S., Wheeler, A., Lee, J. 2015; 2015: 842725-?


    Paravertebral blocks are becoming increasingly utilized for breast surgery with studies showing improved postoperative pain control, decreased need for opioids, and less nausea and vomiting. We describe the anesthetic management of an otherwise healthy woman who was 12 weeks pregnant presenting for treatment of her breast cancer. For patients undergoing breast mastectomy and reconstruction with tissue expanders, paravertebral blocks offer an anesthetic alternative when general anesthesia is not desired.

    View details for DOI 10.1155/2015/842725

    View details for PubMedID 26229692

  • The diagnostic value of nipple discharge cytology: Breast imaging complements predictive value of nipple discharge cytology JOURNAL OF SURGICAL ONCOLOGY Kalu, O. N., Chow, C., Wheeler, A., Kong, C., Wapnir, I. 2012; 106 (4): 381-385


    Papilloma is the most common finding associated with pathologic nipple discharge. In the absence of breast imaging abnormalities, the incidence of occult malignancy is <3%.To determine the predictive value of nipple discharge cytology in conjunction with breast imaging.Retrospective review of 160 charts; inclusion criteria of clinically pathologic nipple discharge, subsequent excisional biopsy, and absence of palpable abnormalities. Nipple discharge cytology categorized as negative, atypical, suspicious, and papillary. Breast imaging was analyzed. Preoperative tests were correlated to final surgical pathology.89 patients identified. Sixty-five had positive cytology, with a false positive rate of 32.3%. They were associated with papillomas in 52%, benign non-papillary in 33% and malignant lesions in 9% of cases. Nipple discharge cytology was positive in 69.6% of papillomas and 92% of atypical/malignant lesions; 30% had abnormal breast imaging and positive cytology. Nipple discharge cytology had a sensitivity of 74.5%, specificity of 30%, and positive predictive value of 68%. The positive predictive value increased to 85% with associated abnormal breast imaging.Nipple discharge cytology is useful in evaluating pathologic discharge. However, negative cytology with negative imaging is not enough to avoid surgery in cases of suspicious clinical presentation.

    View details for DOI 10.1002/jso.23091

    View details for Web of Science ID 000307550900005

    View details for PubMedID 22396104

  • Metastases to the breast: Alveolar soft part sarcoma in adolescents CLINICAL BREAST CANCER Madrigrano, A., Beach, B., Wheeler, A., Wapnir, I. 2008; 8 (1): 92-93


    Metastases to the breast comprise 0.5%-2% of breast neoplasms. This is a case report of an 18-year-old woman with an alveolar soft part sarcoma metastatic to the breast.

    View details for Web of Science ID 000253503000010

    View details for PubMedID 18501064