We provide comprehensive management for patients with all types of breast disease, especially breast cancer.
We work closely with your other physicians to develop a personalized treatment plan, tailored to your individual needs.
- Abscess Drainage
An abscess is a localized area of infection with a walled-off collection of pus. An abscess is generally treated with antibiotics and drainage.
Drainage may be performed with a needle and syringe (aspiration).
- Breast Cancer Risk Assessment and Counseling
Approximately 1 in 8 women will develop breast cancer in their lifetime.
There are multiple different risk models that can help estimate a woman’s individual risk of breast cancer, taking in consideration factors such as family history, use of hormones, breast density, and history of previous breast biopsies.
None of the risk models can tell whether or not a person will develop breast cancer.
- Breast Ultrasound
Breast ultrasound uses high-frequency sound waves to produce pictures of the internal structure of your breast tissue. It does not involve radiation.
Breast ultrasound is primarily used to assess abnormalities detected during physical exam or to characterize abnormalities seen on a mammogram.
Breast ultrasound cannot take the place of mammography for breast cancer screening. A screening study is one that is performed on a large number of people in order to identify those who have or are likely to develop a disease or condition.
- Genetic Testing
Family history is a very important risk factor for breast cancer. However, only 5-10% of all breast cancers are thought to be hereditary, or caused by abnormal genes passed down from one generation to another.
Women who meet the following criteria may consider genetic testing:
- First- or second-degree relative diagnosed with breast cancer at an early (age 45 or under)
- Ashkenazi Jewish heritage and family history of breast cancer
- Two or more breast cancers in a single family member
- Family or personal history of ovarian cancer, fallopian cancer, or primary peritoneal cancer
- Male breast cancer
- Know genetic mutation carrier in the family
Genetic testing in our office is done through a spit test. The test extracts DNA from the cells that are shed in your saliva. The DNA is analyzed to look for gene mutations (or changes) in the DNA that may be related to cancer risk.
- High Risk Follow Up
Women who are at increased risk for breast cancer may benefit from high risk follow up to provide structured surveillance and education.
The goal of high risk screening is prevention and/or early detection of breast cancer.
This may be accomplished through preventive measures, including medications and lifestyle modifications, and imaging studies such as mammography, tomosynthesis (3D mammography), ultrasound, and breast MRI.
- Second Opinion
A cancer diagnosis can be confusing and frightening for both the patient and family members/caregivers. It is important to find a physician with expertise in your type of cancer.
Asking for a second opinion is a fairly common practice and may provide the following:
- Confirmation of a diagnosis
- Information about other treatment options
- Help you feel more comfortable with the healthcare decisions you make
- Ultrasound-Guided Cyst Aspiration
This procedure uses a syringe to withdraw fluid from a cyst. A cyst is a fluid- filled sac within the breast tissue that may look or feel like a lump.
This procedure is reserved for cysts that are large or painful.
- Ultrasound-Guided Needle Biopsy
This is a type of breast biopsy that uses a needle to remove a small sample of tissue from a solid mass. The tissue is then sent to a lab for analysis to determine a diagnosis.
A local anesthetic is used to numb the skin and breast tissue at the biopsy site. A small nick is made in the skin, and ultrasound is used to guide the biopsy needle into the mass. Several samples of tissue, each about the size of a grain of rice, are removed. A tiny titanium marker may be inserted to identify the biopsy site so it can be located in the future if necessary.
The procedure is usually completed within an hour. You do not need a driver but should avoid strenuous activity for 24 hours after the procedure.
You will be given an ice pack for comfort and may take an over-the- counter pain medication such as Tylenol or Advil. Mild swelling and bruising are normal after the procedure.