Breast Examination Mammography Ultrasound & Ultrasound Guided Biopsy Stereotactic (non-surgical) Biopsy Breast Surgery Breast Cancer Treatment

Long-Term F/U of Breast Disease Breast Cancer Support Groups Bone Densitometry Psychosocial Support Nutrition Counseling Alternative Medicine Referrals

Mammography-Screening mammography is the cornerstone of early breast cancer detection.  
We offer state of the art mammography services and are committed to offering this vital screening
 tool to as many women as possible. We are ACR accredited facility. If your screening exam is 
abnormal, you will undergo further imaging studies at the Breast Center.  This may include 
diagnostic mammography, which includes multiple views, and possibly magnification views. If
 previous studies are not available final reporting may be delayed.  Reports will be sent to your 
referring physician, and primary care physician.

Ultrasound- Certain breast lesions are better imaged with ultrasound.  We have an on
site dedicated ultrasound for completeness of your evaluation.

Stereotactic (non-surgical) Breast Biopsy-Your screening and diagnostic evaluation 
May reveal an abnormality which requires biopsy.  In the past, this required surgery.  Now, many
of these abnormalities can be biopsied in the office using latest in surgical diagnostic techniques - 
Stereotactic Breast Biopsy.  The Breast Center has the most technologically advanced  equipment
available for performing stereo tactic biopsy simply, quickly and virtually painlessly, with no
interruption of normal activities.  For some breast abnormalities, stereotactic biopsy may not be 
the best or only choice and an ultrasound guided biopsy or surgical biopsy may be recommended.
We will discuss all options together and choose the most appropriate.

Breast Surgery-As a breast surgeon, Dr. Tomaselli can provide the highest quality surgical
breast services.  Some benign breast problems require surgical intervention.  The majority of 
breast surgery, however, is for the diagnosis and treatment of breast cancer.  If your evaluation 
reveals breast cancer, several options for treatment are available.  We are committed to the 
concept of breast conservation when appropriate, realizing that this is not the only choice and may 
not be the best choice for all women.  We will have extensive discussions and will provide 
detailed information about all your options.  Your family will be encouraged to participate in these 
discussions,  if you wish.  We realize that this is an emotional and difficult time for patients and 
their families, and we are here to support your decisions about treatment.  Once we are certain 
we have provided as much information as possible,  the final decision is always up to you.

Breast Cancer Counseling- Led by Dr. James Kaikobad, a positive, gentle and life 
affirming approach to assist your medical treatment, recovery and healing.

Breast Cancer Treatment- Following surgery for breast cancer, several other decisions 
may be required, including radiation therapy, chemotherapy, hormonal therapy, and 
reconstructive surgery.  We will provide you with information about all of the treatment options 
and arrange for appropriate consultations with specialists in these areas.  In addition, we will help 
you understand and negotiate these often confusing and difficult decisions.

Follow Up-We are committed to the lifelong follow-up of all our breast patients.  If you have 
no breast disease, you will go into our routine screening program.  If you have breast cancer 
you will be placed into an intensive cancer follow-up program.  For our mastectomy patients, we
can help arrange for temporary and permanent prosthetics.

Bone Mineral Densitometry- The bone density test is the single most useful procedure in 
the diagnosis of osteoporosis and the evaluation of risk.  A bone density test is a measurement of 
the density of your bone mineral and can be taken from various places throughout the body, such 
as the hip, the spine, the heel or the forearm.  The lower your bone density, the higher your risk of 
fracture.

                A bone density test uses low dosage x-ray technology, applying x-rays 
                only to the scan site involved, unlike a bone scan which requires a relatively
                high  radioactive substance injected into the body.