Andrea Milbourne, M.D.
Department of Gynecologic Oncology and Reproductive Medicine, Division of Surgery
About Dr. Milbourne
Dr. Milbourne was recruited to The University of Texas MD Anderson Cancer Center in 2002 to provide gynecologic care to women with cancer. In this capacity, she provides a comprehensive range of gynecologic services including counseling around menopausal symptoms, sexual dysfunction, fertility preservation prior to starting cancer treatment, as well as surgical care for common and rare gynecologic problems.
Dr. Milbourne has spearheaded the creation of multidisciplinary guidelines for the care of the pregnant cancer patient. She facilitates and coordinates obstetric and cancer care and serves as a liaison between oncologists at The University of Texas MD Anderson Cancer Center and perinatologists at The University of Texas Health Science Center. Dr. Milbourne provides a limited number of services to pregnant women in their first trimesters.
She also provides care and treatment for patients with preinvasive disease of the cervix, vagina and vulva. Treatments include excisional treatments usually performed in an office setting as well as laser therapy of preinvasive lesions of the cervix, vulva and vagina.
Under Dr. Milbourne’s leadership, the section of General Gynecology has grown to a total of 3 general gynecologists who, with the help of 2 Nurse Practitioners, provide comprehensive care for women with cancer.
Dr. Milbourne received her education from The University of Hawaii John A. Burns School of Medicine. She followed up with her residency in Obstetrics and Gynecology at Harbor-UCLA Medical Center in Los Angeles, California. She was in private practice for several years in Los Angeles, before returning to a teaching role at Harbor-UCLA Medical Center.
Dr. Milbourne is board-certified in Obstetrics and Gynecology and holds medical licenses in both Texas and California.
Present Title & Affiliation
Primary Appointment
Professor, Head of the Section of General Gynecology, Department of Gynecologic Oncology and Reproductive Medicine, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX
Dual/Joint/Adjunct Appointment
Volunteer Faculty, Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas Health Science Center Houston, Herman Hospital, and Lyndon B. Johnson Hospital, Houston, TX
Education & Training
Degree-Granting Education
| 1992 | John A. Burns School of Medicine, Honolulu, HI, USA, MD, Medicine |
| 1990 | University of Hawaii, Honolulu, HI, USA, MS, Biochemistry and Biophysics |
| 1986 | University of Hawaii, Honolulu, HI, USA, BA, Biology |
Postgraduate Training
| 2010-2010 | Certification, CO2 Laser Certification Training, The University of Texas MD Anderson Cancer Center, Houston, TX |
| 1992-1996 | Internship and Residency, Obstetrics and Gynecology, Harbor-UCLA Medical Center, Torrance, CA |
Board Certifications
| 1999 | American Board of Obstetrics and Gynecology |
Experience & Service
Institutional Committee Activities
Member, The University of Texas M.D. Anderson Cancer Center, Faculty Senate, 2017 - 2019
Member, The University of Texas MD Anderson Cancer Center, Promotion and Tenure Panel, 2015 - Present
Member, The University of Texas MD Anderson Cancer Center, Clinical Faculty Review Committee (CFRC), 2014 - Present
Chair, Laser Safety Committee, 2013 - Present
Chair, The University of Texas MD Anderson Cancer Center, sponsored by Women Faculty Programs, The Road to Professor, a career workshop for Women Associate Professor, 2012 - Present
Member, The University of Texas M.D. Anderson Cancer Center, Psychosocial, Behavioral and Health Services Research Committee (PBHSRC), 2010 - Present
Member, The University of Texas M.D. Anderson Cancer Center, Patient Care Operations Team (PCOT), 2010 - Present
Member, The University of Texas M.D. Anderson Cancer Center, Laser Safety Committee, 2009 - 2013
Member, The University of Texas M.D. Anderson Cancer Center, Hodgkin Lymphoma AYA Team Meeting, 2009 - Present
Member, The University of Texas M.D. Anderson Cancer Center, Clinical Safety and Effectiveness, 2007 - 2008
Member, The University of Texas M.D. Anderson Cancer Center, Clinical Research Committee (CRC), 2006 - 2010
Member, The University of Texas M.D. Anderson Cancer Center, Program Steering Committee, 2005 - 2010
Member, The University of Texas M.D. Anderson Cancer Center, Faculty Senate, 2003 - 2005
Member, The University of Texas M.D. Anderson Cancer Center, Medical Practice Subcommittee, 2003 - 2005
Professional Memberships
Selected Publications
Peer-Reviewed Articles
- Yates MS, Coletta AM, Zhang Q, Schmandt RE, Medepalli M, Nebgen D, Soletsky B, Milbourne A, Levy E, Fellman B, Urbauer D, Yuan Y, Broaddus RR, Basen-Engquist K, Lu K. Prospective randomized biomarker study of metformin and lifestyle intervention for prevention in obese women at increased risk for endometrial cancer. Cancer Prev Res (Phila) 11(8):477-490, 2018. e-Pub 2018. PMID: 29716897.
- Schlumbrecht M, Sun C, Huang M, Milbourne A, Bodurka D. Gynecologic cancer survivor preferences for long-term surveillance. BMC Cancer 18(1):375, 2018. e-Pub 2018. PMID: 29614979.
- Pal N, Broaddus RR, Urbauer DL, Balakrishnan N, Milbourne A, Schmeler KM, Meyer LA, Soliman PT, Lu KH, Ramirez PT, Ramondetta L, Bodurka DC, Westin SN. Treatment of Low-Risk Endometrial Cancer and Complex Atypical Hyperplasia With the Levonorgestrel-Releasing Intrauterine Device. Obstet Gynecol 131(1):109-116, 2018. PMID: 29215513.
- Lopez MS, Baker ES, Milbourne AM, Gowen RM, Rodriguez AM, Lorenzoni C, Mwaba C, Msadabwe SC, Tavares JH, Fontes-Cintra G, Zucca-Matthes G, Callegaro-Filho D, Ramos-Martin D, Thiago de Carvalho I, Coelho R, Marques RM, Chulam T, Pontremoli-Salcedo M, Nozar F, Fiol V, Maza M, Arora S, Hawk ET, Schmeler KM. Project ECHO: A Telementoring Program for Cervical Cancer Prevention and Treatment in Low-Resource Settings. J Glob Oncol 3(5):658-665, 2017. e-Pub 2016. PMID: 29094102.
- Salcedo M, Schmeler K, Munsell M, Costales A, Milbourne A, Ramalingam P, Dos Reis R, El Beitune P. Adenocarcinoma in situ of teh cervix: Is LEEP an acceptable alternative to Cold Knife Cone?. European Oncology & Haematology. e-Pub 2017.
- Pinnix CC, Osborne EM, Chihara D, Lai P, Zhou S, Ramirez MM, Oki Y, Hagemeister FB, Rodriguez AM, Samaniego F, Fowler N, Romaguera JE, Turturro F, Fayad L, Westin JR, Nastoupil L, Neelapu SS, Cheah CY, Dabaja BS, Milgrom SA, Smith GL, Horace P, Milbourne A, Wogan CF, Ballas L, Fanale MA. Maternal and Fetal Outcomes After Therapy for Hodgkin or Non-Hodgkin Lymphoma Diagnosed During Pregnancy. JAMA Oncol 2(8):1065-9, 2016. e-Pub 2016. PMID: 27227654.
- Ramondetta LM, Meyer LA, Schmeler KM, Daheri ME, Gallegos J, Scheurer M, Montealegre JR, Milbourne A, Anderson ML, Sun CC. Avoidable tragedies: Disparities in healthcare access among medically underserved women diagnosed with cervical cancer. Gynecol Oncol 139(3):500-5, 2015. e-Pub 2015. PMID: 26498912.
- Salcedo MP, Milbourne AM, Jhingran A, Eifel PJ, Ramirez PT, Schmeler KM. High-Grade Cervical Dysplasia following Radiation Therapy for Invasive Cervical Cancer: A Report of Four Cases. Case Reports in Oncology 8(2):217-21, 2015. e-Pub 2015. PMID: 26078740.
- Murthy RK, Theriault RL, Barnett CM, Hodge S, Ramirez MM, Milbourne A, Rimes SA, Hortobagyi GN, Valero V, Litton JK. Outcomes of children exposed in utero to chemotherapy for breast cancer. Breast Cancer Res 16(6):3414. e-Pub 2014. PMID: 25547133.
- Yust-Katz S, de Groot JF, Liu D, Wu J, Yuan Y, Anderson MD, Conrad CA, Milbourne A, Gilbert MR, Armstrong TS. Pregnancy and glial brain tumors. Neuro Oncol 16(9):1289-94, 2014. e-Pub 2014. PMID: 24615863.
- Lu KH, Loose DS, Yates MS, Nogueras-Gonzalez GM, Munsell MF, Chen LM, Lynch H, Cornelison T, Boyd-Rogers S, Rubin M, Daniels MS, Conrad P, Milbourne A, Gershenson DM, Broaddus RR. Prospective, Multi-center Randomized Intermediate Biomarker Study of Oral Contraceptive vs. Depo-Provera for Prevention of Endometrial Cancer in Women with Lynch Syndrome. Cancer Prev Res (Phila) 6(8):774-81, 2013. e-Pub 2013. PMID: 23639481.
- Costales AB, Milbourne AM, Rhodes HE, Munsell MF, Wallbillich JJ, Brown J, Frumovitz M, Ramondetta LM, Schmeler KM. Risk of residual disease and invasive carcinoma in women treated for adenocarcinoma in situ of the cervix. Gynecol Oncol 129(3):513-6, 2013. e-Pub 2013. PMID: 23541795.
- Wallbillich JJ, Rhodes HE, Milbourne AM, Munsell MF, Frumovitz M, Brown J, Trimble CL, Schmeler KM. Vulvar intraepithelial neoplasia (VIN 2/3): comparing clinical outcomes and evaluating risk factors for recurrence. Gynecol Oncol 127(2):312-5, 2012. e-Pub 2012. PMID: 22867736.
- Pham B, Rhodes H, Milbourne A, Adler-Storthz K, Follen M, Scheurer ME. Epidemiologic differentiation of diagnostic and screening populations for the assessment of cervical dysplasia using optical technologies. Gend Med 9(1 Suppl):S36-47, 2012. PMID: 22340639.
- Cheng YC, Takagi M, Milbourne A, Champlin RE, Ueno NT. Phase II study of gonadotropin-releasing hormone analogue for ovarian function preservation in hematopoietic stem cell transplantation patients. Oncologist 17(2):233-238, 2012. PMID: 22282904.
- Cheng YC, Takagi M, Milbourne A, Champlin RE, Ueno NT. Phase II study of gonadotropin-releasing hormone analog for ovarian function preservation in hematopoietic stem cell transplantation patients. Oncologist 17(2):233-8, 2012. e-Pub 2012. PMID: 22282904.
- Cantor SB, Yamal JM, Guillaud M, Cox DD, Atkinson EN, Benedet JL, Miller D, Ehlen T, Matisic J, van Niekerk D, Bertrand M, Milbourne A, Rhodes H, Malpica A, Staerkel G, Nader-Eftekhari S, Adler-Storthz K, Scheurer ME, Basen-Engquist K, Shinn E, West LA, Vlastos AT, Tao X, Beck JR, Macaulay C, Follen M. Accuracy of optical spectroscopy for the detection of cervical intraepithelial neoplasia: Testing a device as an adjunct to colposcopy. Int J Cancer 128(5):1151-68, 2011. e-Pub 2010. PMID: 20830707.
- Huang M, Sun C, Boyd-Rogers S, Burzawa J, Milbourne A, Keeler E, Yzquierdo R, Lynch P, Peterson SK, Lu K. Prospective study of combined colon and endometrial cancer screening in women with lynch syndrome: a patient-centered approach. J Oncol Pract 7(1):43-7, 2011. PMID: 21532810.
- Nakayama K, Liu P, Detry M, Schover LR, Milbourne A, Neumann J, Rondon G, Thewes B, Champlin RE, Ueno NT. Receiving information on fertility- and menopause-related treatment effects among women who undergo hematopoietic stem cell transplantation: changes in perceived importance over time. Biol Blood Marrow Transplant 15(11):1465-74, 2009. PMID: 19822307.
- Milbourne A. Egg retrieval with cryopreservation does not delay breast cancer treatment. Breast Diseases 19(2):130, 2008.
- Park SY, Follen M, Milbourne A, Rhodes H, Malpica A, MacKinnon N, MacAulay C, Markey MK, Richards-Kortum R. Automated image analysis of digital colposcopy for the detection of cervical neoplasia. J Biomed Opt 13(1):014029, 2008. PMID: 18315387.
- Milbourne A, Park SY, Benedet JL, Miller D, Ehlen T, Rhodes H, Malpica A, Matisic J, Van Niekirk D, Atkinson EN, Hadad N, Mackinnon N, Macaulay C, Richards-Kortum R, Follen M. Results of a pilot study of multispectral digital colposcopy for the in vivo detection of cervical intraepithelial neoplasia. Gynecol Oncol 99(3 Suppl 1):S67-75, 2005. e-Pub 2005. PMID: 16202444.
- Marín NM, Milbourne A, Rhodes H, Ehlen T, Miller D, Benedet L, Richards-Kortum R, Follen M. Diffuse reflectance patterns in cervical spectroscopy. Gynecol Oncol 99(3 Suppl 1):S116-20, 2005. e-Pub 2005. PMID: 16165197.
- Park SY, Collier T, Aaron J, Markey M, Richards-Kortum R, Sokolov K, Mackinnon N, Macaulay C, Coghlan L, Milbourne A, Follen M. Multispectral digital microscopy for in vivo monitoring of oral neoplasia in the hamster cheek pouch model of carcinogenesis. Opt Express 13(3):749-762, 2005. PMID: 19494935.
- Benavides J, Chang S, Park S, Richards-Kortum R, Mackinnon N, Macaulay C, Milbourne A, Malpica A, Follen M. Multispectral digital colposcopy for in vivo detection of cervical cancer. Opt Express 11(10):1223-36, 2003. PMID: 19465988.
- Dixon PS, Bodner AJ, Okihiro M, Milbourne A, Diwan A, Nakamura JM. Human T-lymphotropic virus type I (HTLV-I) and tropical spastic paraparesis or HTLV-I-associated myelopathy in Hawaii. West J Med 152(3):261-7, 1990. PMID: 2139754.
Invited Articles
- Milbourne A. Management of Pregnant Patients With Cancer. Oncology (Williston Park) 30(5):448-50, 2016. PMID: 27188676.
- Rimes S, Gano J, Milbourne A. Care of the pregnant patient with cancer. Oncology (Williston Park) 22(8 Suppl Nurse Ed):13-22, 2008. PMID: 19856566.
- Milbourne A, Nakamura S, Nakamura JM. The polymerase chain reaction and its applications. Hawaii Med J 48(4):125-6, 1989. PMID: 2737899.
Manuals, Teaching Aids, Other Teaching Publications
- Milbourne A. Redefining Cancer Care. OncoLog, 2009.
- Milbourne A. Prevention and treatment of abnormal uterine bleeding during chemotherapy. Up to Date, 2006.
- Milbourne A. Clinical Discussion Diagnostic Guidelines: Abnormal Pap Test. OncoLog, Compass, 2003.
Other Articles
- Nakayama K, Milbourne A, Schover LR, Champlin RE, Ueno NT Gonadal Failure after treatment of hematologic malignancies: from recognition to management for health-care providers. Nat Clin Pract Oncol 5(2):78-89, 2008. PMID: 18235440.
Editorials
- Milbourne A. Access, access, access: cervical cancer screening and management practices among providers in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Cancer 110(5):941-2, 2007. PMID: 17628490.
- Rimes S, Gano J, Hahn K, Ramirez M, Milbourne A. Caring for pregnant patients with breast cancer. Oncol Nurs Forum 33(6):1065-1069, 2006. PMID: 17152656.
Abstracts
- Lopez MS, Baker ES, Milbourne AM, Gowen R, Rodriguez AM, Lorenzoni C, Mwaba C, Msadabwe S, Tavares JH, Cintra GF, Matthes GZ, Filho DC, Martin DR, Thiago de Carvalho I, Coelho R, Marques RM, Chulam T, Salcedo MP, Nozar F, Fiol V, Maza M, Arora S, Hawk ET, Schmeler KM. Project ECHO: A telementoring program for cervical cancer prevention and treatment in low-resource settings. Journal of Global Oncology:1-8, 2016.
- Bradford A, Nebgen D, Keeler E, Milbourne A. A comprehensive program to meet the sexual health needs of women with cancer, 2014.
- Yust-Katz S, Milbourne A, Diane L, Gilbert M, Armstrong T. Pregnancy and brain tumors. Neuro-Oncology 15(Suppl 3):135, 2013.
- Fanale MA, Lai CM, Rimes SA, Ramirez MM, Hagemeister FB, Fowler NH, Younces A, Fayad LE, Rodriguez MA, Turturro F, Samaniego F, Romaguera JE, Levin VA, Horowitz SB, Milbourne A. Positive maternal-fetal outcomes with treatment of Lymphoma during pregnancy: UT MD Anderson Cancer Center Prospective Experience. Blood 120(21):3670, 2012.
- Milbourne A, Sun CC, Fanale MA, Theriault RL, Rimes SA, Litton JK, Ramirez MM. Pregnancy outcomes in women with cancer. J Clin Oncol 30(15, Suppl S):6116, 2012.
- Costales AB, Milbourne A, Rhodes H, Munsell MF, Wallibich JJ, Brown J, Wallibich JJ, Frumovitz M, Schmeler KM. Residual disease and invasive carcinoma in women undergoing hysterectomy for adenocarcinoma in situ (AIS) of the cervix. Gynecolgic Oncology 125(Suppl 1):S53 (#125), 2012.
- Wallbillich J, Rhodes H, Milbourne A, Munsell M, Frumovitz M, Brown J, Schmeler K. Comparing clinical outcomes and evaluating risk factors for recurrence. Proceedings of the 43rd Annual Meeting of the Society of Gynecologic Oncology 125(Suppl 1):S82 (#197), 2012.
- Schlumbrecht M, Sun C, Huang M, Milbourne A, Bodurka D. Survivorship care: Who do gynecologic cancer patients prefer?. Gynecologic Oncology 125(Suppl 1):S76 (#181), 2012.
- Wallbillich J, Rhodes H, Milbourne A, Munsell M, Frumovitz M, Schmeler K. Vulvar intraepithelial neoplasia (VIN2/3): Comparing clinical outcomes and evaluating risk factors for recurrence. Gynecologic Oncology 125(Suppl 1):S82 (#197), 2012.
- Cheng Y, Takagi M, Milbourne A, Champlin RE, Ueno NT. Phase II study of gonadotropin-releasing hormone analogue for ovarian function preservation in hematopoietic stem cell transplantation patients. Journal of Clinical Oncology 28(15, Suppl S):9025, 2010.
- Huang M, Sun CC, Boyd-Rogers S, Burzawa JK, Milbourne A, Yzquierdo R, Lynch PM, Peterson SK, Lu KH. A prospective study of combined colon and endometrial cancer screening in women with Lynch syndrome: A novel, patient-centered approach. Journal of Clinical Oncology 28(15, Suppl S):1563, 2010.
- Rimes S, Milbourne A. Pregnancy and cancer: Who's minding the baby?. Oncology Nursing Forum 33(2):481 (#305), 2006.
- Milbourne A, Sung K-B, Liang C, Descour M, Follen M, Malpica A, Richards-Kortum R. In Vivo microscopic imaging of cervix by fiber optic confocal microscopy. . Preventing and Controlling Cervical Cancer in the New Millennium 5(SS8-03):107, 2003.
- Milbourne A, Benavides JM, Chang S, Mackinnon N, MacAulay C, Follen M, Richards-Kortum R. Multispectral digital colposcopy for the detection of cervical neoplasia. Preventing and Controlling Cervical Cancer in the New Millennium 5 5(SS15-01):117, 2003.
- Milbourne A, Benedet JL, Chang S, Mackinnon N, MacAulay C, Follen M, Richards-Kortum R. Technology assessment of fluorescence and reflectance spectroscopy. Preventing and Controlling Cervical Cancer in the New Millennium 5:115, 2003.
Book Chapters
- Milbourne A, Follen M. Preinvasive Disease of the Lower Genital Tract. In: Gynecologic Cancer. Springer, 20-29, 2005.
Patient Reviews
CV information above last modified February 21, 2024