3. BREAST DIAGNOSTICS DEPARTMENT

LOCATION
CONTACT

BREAST DIAGNOSTICS DEPARTMENT

 

dr n. med. Piotr Kasprzak

Department manager:
Piotr Kasprzak, MD, Ph.D.
phone: 71 36 89 465

 

Deputy manager:
Małgorzata Strychalska, MD
phone: 71 36 89 465

 

Secretariat:
phone: 71 36 89 465

 

Physicians and technicians:
phone: 71 36 89 563

 

Registration:
phone: 71 36 89 559

 

Registration for screening:
phone: 71 36 89 566

 

Technician team Manager:
Piotr Kupczak
phone: 71 36 89 558

 

Technicians:
phone: 71 36 89 563

 

Laboratories:

  • mammography:
    phone: 71 36 89 560
  • ultrasonography:
    phone: 71 36 89 562 or 71 36 89 561
  • biopsy:
    phone: 71 36 89 561
MEDICAL PERSONNEL

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LABORATORIES
  • Mammography:

The laboratories perform screening and diagnostic procedures (and additional projections).

Number of procedures performed annually: about 15000

Mammography laboratory implements regular quality checks to ensure high procedural quality

  • Ultrasonography:

The Ultrasonography laboratories perform ultrasound examination of:

– the mammary gland

– the scar after mastectomy

– supraclavicular and axillary fossae

Number of ultrasound procedures performed annually: about 9000

  • Biopsy:

Types of biopsy procedures:

– fine-needle aspiration biopsy

– core-needle aspiration biopsy

-vacuum-assisted core needle biopsy (mammotome)

Biopsies cane be guided by ultrasonography or by mammography (using a stereotactic table)

Number of biopsies performed annually: about 1000

– didactic

– screening

TASKS:

Breast Diagnostics Department performs the following procedures:

Mammography – a non-invasive diagnostic procedure. During this procedure the breast is pressed and x-rayed. Head-to-foot view and angled side-view images of the breast are taken. A mammography is used to detect nodules sized 2-3 mm in diameter, and other changes in the breast at a very early stage, those impossible to detect during breast self-examination. It doesn’t require any special preparation.

Ultrasonography is a non-invasive procedure that uses ultrasounds to visualize internal structures. This method is especially useful for examinsation of breasts mostly composed of glandular tissue (e.g. in the case of young women) and detects palpable nodules. It also helps determine if a lump is a fluid-filled cyst or solid tumor. An ultrasound examination is painless. Before the ultrasound-emitting probe is placed on the patient’s body, the skin is covered with a special gel. This procedure doesn’t require any special preparation.

 

Fine-needle aspiration biopsy – is used to take a sample of cells or fluid from suspected regions of the breast using a syringe with a fine needle attached to it. The procedure takes less than 30 minutes and doesn’t require anesthetics, use of stitches and doesn’t leave any scarring.

Core needle aspiration biopsy – TRUCUT  requires a small skin incision through which a biopsy needle is inserted several times. A small fragment of tissue is taken (4-6 samples). The biopsy requires local anaesthetic and takes about 30 minutes. No stitches are required, a sticking plaster and a compression bandage is applied. The procedure leaves only minimal scarring. TRUCUT is performed to examine larger lesions and the biopsy is guided by ultrasonography.

Vacuum-assisted core needle biopsy – a mammotome breast biopsy is an outpatient procedure and takes about 30 minutes. Samples of suspected tissue are taken trough a 3-mm incision. Only local anaesthetic is used; no stitches are required, a sticking plaster and a compression bandage are applied instead. Biopsy is performed to examine larger lesions. Biopsies can be guided by mammography or ultrasonography. Core needle biopsy doesn’t require any special preparation; the only exception being patients who suffer from a bleeding disorder or take anticoagulants . They should inform the physician and discuss the preparation to the procedure.

Stereotactic biopsy – the equipment consists of a special table, equipped with a mammograph and a stereotactic unit connected to a computer. The patient lies face down on the table and it is used to determine the location of the abnormal area and the needle insertion depth. This type of diagnostic procedure is especially useful for diagnosing clusters of microcalcifications and other changes only visible on a mammogram.

Ultrasonography-guided biopsy is used to take samples of tissues under ultrasound control. During the procedure the extent of the sample to be taken can be easily seen on the ultrasound monitor, which allows for precise identification of the most suspicious lesions. This method is used to diagnose changes visualized via ultrasonography.

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