Consultation and Second Opinion

In Office Procedures:

Outpatient Surgical or Hospital Procedures:

Breast Ultrasound. Breast Ultrasound is a painless procedure that uses soundwaves to look through the breast for abnormalities such as cysts (fluid filled) or solid masses. It is particularly helpful in evaluating palpable lumps in the mammographically dense breast and in examining areas that are abnormal on a mammogram. It is also used in guiding needle aspiration and biopsy procedures.

Cyst Aspiration. A small needle is used to withdraw fluid and drain a cyst. This is done to relieve discomfort or to confirm the mass in fluid-filled.

FNA Biopsy. A solid mass can be biopsied by aspirating cells through a small needle. The aspirated material is placed on a slide for the pathologist to examine. This is sometimes helpful in determining if a mass is benign or malignant however a confirmatory larger core biopsy may be needed before a definitive procedure is done.

Ultrasound Guided Core or Vacuum Assisted Biopsy. A special hollow needle or biopsy probe is used to remove tissue samples from the breast. This procedure is done under local anesthesia through a small incision. Ultrasound is used to identify the mass and confirm the location of the needle within the proper area of the mass.

Excisional Biopsy. Excisional biopsy removes a mass or lesion. Wire localization may be necessary to locate the area identified on mammogram or ultrasound. The wire is followed into the breast tissue and the tissue around the wire is removed along with the wire.

Incisional Biopsy. Incisional biopsy is rarely done now that core biopsy is available. This removes a small part of a mass for diagnosis. It also may be done as a skin biopsy for inflammatory breast cancer.

Partial Mastectomy (Lumpectomy or Segmental Mastectomy). Partial Mastectomy removes a cancer with a rim or normal tissue around it to obtain margins clear of cancer cells.

Total Mastectomy. Total mastectomy removes the breast tissue but not the muscle or lymph nodes.

Modified Radical Mastectomy. This is the term used for total mastectomy and axillary dissection. This removes the breast tissue and axillary lymph nodes.

Sentinal Lymph Node Biopsy and sampling with mapping. This is a procedure to determine the first lymph node that drains the breast. This node or nodes is most likely to contain cancer cells if the tumor has spread. If this node is negative for cancer cells, this remainder of the nodes can be spared. If it is positive for cancer cells, it is usually recommended that a complete axillary dissection be done. This may require a second operation at a different time.

Venous Access Port for Chemotherapy. A vascular access device is a specialized chamber buried under the skin that is connected to an intravenous catheter to deliver chemotherapy and medications into the bloodstream. This is often placed for the patientís convenience and to avoid multiple venous punctures during the treatment.