Breast Health Center
Breast health is important for all women and Excela Health is here to support and guide you every step of the way. We offer a variety of services with personal and professional care, combined with advanced technology, to provide the highest quality experience for every patient. Whether it involves a simple screening mammogram, diagnostic procedure or treatment upon a diagnosis, our trained radiologists, surgeons, nurses, nurse navigators and staff at the Breast Health Center are dedicated to providing expert care to all of our patients.
Our mammography screening sites are certified as “Breast Imaging Centers of Excellence”, as a result of exceeding the highest quality and safety standards set by American College of Radiology.
Our screening centers provide a range of services which includes nearly 40,000 mammograms performed annually to detect early signs of breast cancer. At the age of 40, women with no known breast problems should get a 3D screening mammogram to perform a general check of the breast tissue. Along with the screening, we conduct the Tyrer-Cuzick risk assessment to provide a comprehensive look at an individual’s risk of developing breast cancer over the course of her lifetime. Results of this risk assessment will be shared with your physician and can help determine whether additional testing or genetic counseling is needed. With life expectancy increasing and individual health status improving, the guidelines have also changed to recommend lifelong annual mammography screening. If any abnormalities are detected in the screening mammogram, a patient may be called back for a diagnostic mammogram or other exploratory procedures. When should I get a mammogram?
Walk-in Wednesday at Excela Health is the easiest way to get a mammogram with no appointment required! Every Wednesday from 7 a.m. to 5 p.m., you can walk into one of our screening locations and receive a 3D mammogram without needing a doctor’s order. No insurance? Call 1-877-771-1234 prior to walking into one of our screening locations.
Additional Breast Diagnostic Services
While screening mammograms serve as the first line of detection, Excela Health provides a host of other diagnostic testing.
| 3D mammography (Digital Breast Tomosynthesis)
|| 3D Mammography (Tomosynthesis) is similar to a standard mammogram in that it uses X-ray technology and applies the same amount of pressure to the breast. But rather than providing two views—from top to bottom and side to side—the 3-D approach captures multiple views from a variety of angles in seconds. These multiple images of breast tissue slices give doctors a clearer image of breast masses, making it easier to detect breast cancer.
| Breast MRI
||Breast MRI (magnetic resonance imaging) uses radio waves and strong magnets to make detailed pictures of the inside of the breast. Breast MRI is used in breast cancer screening for women at higher than average risk. It can also be used in breast cancer diagnosis and staging.
||The ultrasound uses high-frequency sound waves to produce detailed images of the inside of the breast. A breast ultrasound may be performed if a suspicious lump is discovered in your breast. An ultrasound helps your doctor determine whether the lump is a fluid-filled cyst or a solid tumor. It also allows determination of the location and size of the lump.
|Stereotactic Breast Biopsy
||Stereotactic breast biopsies use mammographic X-rays to locate and target the area of concern and to help guide the biopsy needle to a precise location. This technique helps ensure that the area that is biopsied is the exact area where abnormality was seen on the mammogram. It is called stereotactic because it utilizes two images taken from slightly different angles of the same location. After the sample is collected it is sent to pathology to determine if cancer cells are present.
|Ultrasound-guided breast biopsies
|Ultrasound imaging is used to help guide the radiologist’s instruments to the site of abnormal growth. Small samples of tissue are removed from the breast using a hollow needle and sent to pathology to determine if cancer cells are present.
|MRI-guided breast biopsies
| MRI guided breast biopsies use MRI technology to locate and target the area of concern to remove small samples of tissue from the breast that are sent to pathology to determine if cancer cells are present.
| Ductography (Galactography)
|| This test uses an injection of contrast material to create pictures of the inside of the breast’s milk ducts.
The Excela Health Breast Center
“At Excela Health, we are committed to breast health and excellence in every way. Every patient receives the highest quality of care, latest technologies and compassionate guidance throughout their journey. We are dedicated to creating a supportive environment for our patients, during this challenging time”
-Sharon Goldstein, MD, FACS
Director of Excela Breast Center
Genetic Testing for Breast Cancer
Every woman carries some risk of developing breast cancer during her life. It is known that inherited mutations in certain genes raise the risk of a woman developing breast cancer and Excela Health can help to identify this genetic risk in the BRCA genes.
You can learn more through a simple oral rinse DNA study, available during consultation with our breast surgeons. The test assesses overall breast cancer risk in women even if they have no family history. This information can be useful for women trying to decide when to begin and how often to go for a screening mammogram.
The advantage of knowing you’re at high risk for developing breast cancer opens the door to options for disease prevention and early treatment intervention.
Any woman concerned about her breast cancer risk should follow up with her primary care physician or OB/GYN to discuss genetic testing options.
Diagnosis and Treatment
Being diagnosed with a breast problem can be overwhelming enough without the added stress of making your way through the health care decision-making process. We understand that stress and are here to help. Our Nurse Navigators are experienced nurses who have earned the advanced Master of Science in Nursing degree and are trained to support you throughout your treatment.
Along with offering professional guidance and knowledge, the Nurse Navigator is your designated professional guide who acts as your healthcare advocate. The navigator is not only a nurse, but a personal support system and point of contact for your care. They provide services including:
- Communication with physicians and various community resources
- Referral coordination for additional appointments and procedures
- Emotional support, providing information and education to patients and their family
Commitment to Improving the Experience
Should you need surgery, Excela Health has worked to make the day of breast surgery easier, more comfortable, and safer for our patients. Magnetic seed localization is an improved alternative to the challenging wire localization method previously used to identify breast tumors. Prior to the magnetic seeds, patients had to report to radiology to have a wire inserted the day of surgery to help the surgeon identify small lesions or tumors. Now patients can have a small, radiation free, seed placed into the tumor days ahead of time making the day of surgery much less stressful. Magnetic seeds also provide an alternative to radioactive seed localization.
The magnetic seed localization method also works to remove the least amount of healthy breast tissue possible, typically offering the patient a more minimally invasive procedure and an improved experience.
Our specialists at Excela Health recognize that surgical procedures for breast cancer place stress on the body and can lead to problems with the lymph nodes. Our experienced lymphedema specialists can assist with these nodes and swelling in an outpatient rehabilitative setting by providing techniques to relieve post-surgery swelling.