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Breast Care
Specialists
David I.
Kaufman, M.D., F.A.C.S.
Since
1990, Dr. David Kaufman has been in private practice on Long Island.
Dr. Kaufman is a surgeon specializing in Diseases
and Surgery of the Breast.
His office was based in Massapequa, New York for seven years and just recently moved
to a new modern facility in Bethpage, New York on Hempstead Turnpike.
Dr.
Kaufman has chosen to specialize in the diagnosis and treatment of breast
conditions because proper care takes focus and diligent attention to
detail. The mountain of information can be difficult to sort out, and in
this new era of managed health care, women often are not given enough time
and information to deal with their needs effectively and efficiently.
Every
woman in the United States worries about Breast Cancer. This year, more
than 203,500 women will be diagnosed with breast cancer and over 41,000
will die from the disease. It is one of the most important women's health
issues facing us today.
But,
good things are happening. Using the newest available techniques, doctors
are able to diagnose cancers earlier, and fewer women are dying. New
advances are being made every day in the diagnosis and treatment of breast
cancer, giving us all hope for the future. Using State of the art
technology, Dr. Kaufman is able to diagnose breast cancer earlier and more
accurately and is curing more women than ever before.
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Non-Surgical
Image Guided Breast Biopsy
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Ultrasound
Guided Mammotome® Biopsy
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Stereotactic
Mammotome® Biopsy
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Ultrasound
Guided Needle Aspirations
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Dedicated
Digital Ultrasound Equipment for Diagnosis of Lesions
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Localization
and Excision of Lesions Seen on Mammogram
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Treatment
of Nipple Discharge and Bleeding
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Treatment
of Benign Breast Diseases
The
latest news on Hormone replacement therapy
On
June 8, the FDA approved the sale of a lower-dose version of Wyeth's
hormone replacement therapy Prempro. The new pills, approved to relieve
menopause symptoms, contain 0.3 milligrams of estrogen and 1.5
milligrams of progestin, instead of Prempro's standard strength of 0.625
milligrams of estrogen and 2.5 milligrams or 5 milligrams of progestin.
Last
July, an NIH study found that long-term use of Prempro increased women's
risk of breast cancer, heart attack, blood clots and stroke but reduced
the risk of hipfractures and colon cancer, and another NIH study
published last month found that the drug doubled the risk of dementia in
women 65 and older.
Prescription sales for the drug fell by
50% in the four months following the release of last year's study. Wyeth
officials said they believe the lower hormone doses in the new product
are safer than the regular-strength drug.
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For
more information about breast biopsy, please click
here
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Why a Stereotactic
or Ultrasound Guided
Mammotome®
Breast Biopsy?
A change in your breast, such as an
abnormality detected by a mammogram or a lump found by your or your
doctor, may or may not be cancerous. In order to determine whether
an area of concern is malignant (cancerous) or benign (non-cancerous), a
physician must perform a biopsy. A breast biopsy is the removal of
a sample of breast tissue for examination and is the only definitive way
to determine if an abnormality is cancerous or not.
Fortunately, 80 percent of biopsies
result in a benign diagnosis. However, if cancer is present, it is
crucial that you know the type and stage of the disease as early as
possible. Through early detection and accurate diagnosis, more
treatment options are available and a complete recovery is more likely.
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For
more information about breast biopsy, please click
here
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What
is a Stereotactic Mammotome®
Breast Biopsy?
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Mammotome®
Breast Biopsy System |
A
stereotactic breast biopsy is used to take tiny samples of your breast
tissue that can be studied under a microscope. During this
procedure, an x-ray helps find the tissue to be removed.
Stereotactic breast biopsy may prevent the need for an open, or surgical
biopsy. Open biopsy is done by taking samples of tissue through an
incision, or a cut, made in the skin.
Unlike traditional open surgical
biopsy, which requires a large skin incision and core needle biopsy
which requires multiple insertions of that device, the Mammotome®
Breast Biopsy System requires only a single insertion and minimizes the
removal of surrounding healthy tissue. The procedure requires only
a local anesthetic and can be performed on an outpatient basis.
The system is attached to a special
stereotactic imaging table outfitted with X-ray equipment that takes
pictures from two angles. The patient lies face down on the table
where there is an opening for the breast. Once the abnormal tissue
is located a local anesthetic is administered. Then the
computerized imaging system guides a thin, rotating probe which is
inserted into the breast one time. Once in position a vacuum system
gently draws tissue into a sample chamber. A rotating device then cuts
the tissue samples and sends them to a tissue collection device. The
tissue samples are then sent to a pathology lab to be examined.
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For
more information about breast biopsy, please click
here
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Preparing for
a Breast Biopsy?
Before the biopsy, follow these and any other guidelines
you're given:
- Tell Dr.
Kaufman what medications you are taking, including blood thinners, aspirin,
ibuprofen and Vitamin-E. Ask if and when you should stop taking
them
- Wear a top
that is easy to remove and bring your sports bra with you
- Bathe before
the procedure. Do not wear perfume, deodorant, antiperspirant,
lotion, powder, or any other substance on your skin
- Try to empty
your bladder before the procedure so that you will be more comfortable
on the table
What Happens During
a Stereotactic Mammotome®
Breast Biopsy?
You undress from the waist up and put on a gown that
opens in the front. Then, you lie on your stomach on a stereotactic
imaging table. Your breast is placed through an opening in the
table. The skin on your breast is cleansed and then numbed with a
local anesthetic, so you won't feel pain. Your breast is then
pressed between two flat plates in order to take a low-dosage x-ray.
Through an incision no bigger than a match head, a thin needle is inserted
and guided to the biopsy area. Several small samples of breast
tissue are removed. After the needle is taken out, a small metallic
marker will be placed at the biopsy site. A small bandage
is placed on your skin along with an ice pack. You may now get dressed and go home soon
after the procedure.
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For
more information about breast biopsy, please click
here
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What
Should I Do After a Stereotactic Breast Biopsy?
After
the biopsy, follow these and any other guidelines you have been given
by Dr. Kaufman:
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Take
it easy for 24 hours
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Ask
how long you should use an ice pack over the biopsy are, when you can
remove your bandage and when you may resume medication (including
aspirin) again
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If
you have a fever, excessive bleeding, or other problems, call Dr. Kaufman for more
instructions
Things
to Know About Stereotactic Breast Biopsy
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Stereotactic
biopsy involves compression of the breast. In this way it is
similar to a mammogram. This can sometimes be uncomfortable
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A
stereotactic biopsy removes tiny samples of the suspect tissue.
A larger area of tissue may need to be removed at a later time
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A
Mammotone® Stereotactic or Ultrasound Guided Breast Biopsy is 3 times more accurate than a
core needle biopsy in diagnosing conditions associated with early
stage breast cancer
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A
Mammotone® Ultrasound Guided Breast Biopsy is better at retrieving
small masses, that are not palpable, than the core needle method
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