Kaufman, M.D., F.A.C.S.
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 originally based in Massapequa, New York and is now located in Bethpage, New York on Hempstead Turnpike across from St. Joseph Hospital.
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.
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.
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.
Image Guided Breast Biopsy
Minimally Invasive Ultrasound Guided Vacuum Assisted Biopsy
- Minimally Invasive Stereotactic Vacuum Assisted Biopsy
Guided Needle Aspirations
and Excision of Lesions Seen on Mammogram
- Oncoplastic Surgery
of Nipple Discharge and Bleeding
of Benign Breast Diseases
Halo Breast Pap Test
Digital Breast Ultrasound
Digital Breast Mammography
State of the Art Equipment for the Diagnosis of Breast Lesions
Genetic Testing, BRCA 1 - 2
- Diagnosis and Treatment of Breast Pain
L-Dex Measurements for Lymphedema Prevention and Identification
Lumpectomy for Breast Preservation
Sentinel Lymph Node Biopsy
Skin Sparing Mastectomy
Nipple Sparing Mastectomy
Why a Stereotactic
or Ultrasound Guided
Vacuum Assisted Large Core
Ultrasound Biopsy in Progress
A change in your breast or an abnormality may be detected by a Mammogram, Sonogram or MRI. A lump could be found by you or your doctor. These findings 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 in the lab and is the only definitive way to determine if an abnormality is cancerous or not.
Fortunately,about 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.
is a Stereotactic Vacuum Assisted Large Core
ATEC Consoles Sapphire
The ATEC® Sapphire is the first-ever all-in-one breast biopsy system that provides surgeons the ability to biopsy and excise breast masses and other abnormalities in any of the three primary diagnostic imaging modalities of stereotactic X-ray, ultrasound and magnetic resonance imaging (MRI).
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 Vacuum Assisted Large Core
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.
a Breast Biopsy?
Before the biopsy, follow these and any other guidelines
- Tell Dr.
Kaufman what medications you are taking, including blood thinners, aspirin,
ibuprofen and Vitamin-E. Ask if and when you should stop taking
- 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 Vacuum Assisted Large Core
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 numbing medicine is administered with a local anesthetic, thus minimizing any discomfort. Your breast is then pressed between two flat plates in order to take a low-dosage x-ray. Through a very small incision, a thin biopsy probe is inserted and guided to the biopsy area. Several small samples of breast tissue are removed. After the needle is taken out, a tiny metallic marker will be placed at the biopsy site. A small bandage is placed on your skin along with an ice pack. You will now get dressed and go home soon after the procedure.
Should I Do After a Stereotactic Breast Biopsy?
the biopsy, follow these and any other guidelines you have been given
by Dr. Kaufman:
it easy for 24 hours
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
you have a fever, excessive bleeding, or other problems, call Dr. Kaufman for more
Things to Know About Stereotactic and Ultrasound Guided Breast Biopsy
Stereotactic Biopsy involves compression of the breast. In this way it is similar to a mammogram. This can sometimes be uncomfortable
A Stereotactic Biopsy removes tiny samples of the suspicious tissue. A larger area of breast tissue may need to be removed at a later time
A Vacuum Assisted Large Core Stereotactic or Ultrasound Guided Breast Biopsy is 3 times more accurate than the smaller Core Needle Biopsy in diagnosing conditions associated with early stage breast cancer
A Vacuum Assisted Large Core Ultrasound Guided Breast Biopsy is better at retrieving small masses, that are not palpable, than the smaller Core Needle Biopsy method
What about Partial Breast Radiation?
Partial Breast Irradiation is a relatively new treatment option for patients undergoing breast conserving surgery for breast cancer. In the past, following a lumpectomy to remove a tumor, patients often recieved radiation to the whole breast.
Currently, techniques exist whereby we can treat the lumpectomy site and surrounding breast tissue with a small balloon or similar device placed within the lumpectomy cavity by Dr. Kaufman in the office. A radioactive source is then inserted into the balloon to deliver the radiation. This type of treatment can be delivered quickly, twice per day six hours apart and completed in one week as compared to standard radiation therapy which is given over a five to six week period. Some of the benefits of this include shorter treatment time, less side effects and most importantly similar overall benefit and control of the cancer.
Please call our office to discuss this treatment with Dr. Kaufman.