Breast Cancer Diagnosis

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When it comes to breast cancer, early detection is everything. The Norton Healthcare Breast Health Program offers a full range of breast cancer screening and diagnostic tests to catch the disease in earliest stages — when it’s most treatable.

The Norton Breast Health Center – Brownsboro, located on the same campus as  Norton Cancer Institute – Brownsboro; and the Norton Cancer Institute Evaluation & Diagnostic Center, on the Norton Healthcare – St. Matthews campus; offer same-day appointments for evaluation of suspicious areas. Clinic specialists assess the patient with the goal of making a rapid diagnosis. The providers collaborate with the referring physician, refer the patient to an appropriate specialist and/or assist in finding a primary care physician within Norton Medical Group if cancer care is not needed.

Breast Cancer Imaging Studies

Mammography

When should I start getting mammograms?

Mammography is the most effective screening test available for the detection of breast cancer that cannot be felt. Mammography uses low-dose X-rays to take pictures of the breast. It is also an important tool for evaluating new breast symptoms, such as lumps and nipple discharge.

Norton Healthcare is proud to offer digital mammography with computer-aided detection (CAD), providing superior accuracy to detect even the smallest of tumors. We also feature 3D mammography (tomosynthesis), which is particularly effective for women with dense breast tissue and an increased risk for breast cancer.

For your convenience, we offer mammography screening locations throughout Louisville and Southern Indiana, as well as our Mobile Prevention Center to bring these lifesaving services near where you live and work.

Ultrasound

Ultrasound is a painless, highly effective test to evaluate masses found on a screening mammogram or causes of new breast symptoms. Because ultrasound uses high-frequency soundwaves — not radiation — it is commonly used in women younger than age 30 as the initial exam for breast symptoms.

Magnetic Resonance Imaging (MRI)

What Is a Breast MRI?

MRI is the most sensitive test for the detection of breast cancer. It uses powerful magnets and radio waves to create a picture of the breast and surrounding tissue. During the MRI, the patient lies on their stomach with the breasts placed into cushioned openings. This test is usually for patients with the highest risk of breast cancer. Screening mammograms are also recommended for these patients.

Ductogram

This test is used to help determine the cause of nipple discharge. A fine plastic tube is inserted into the opening of a milk duct, and a small amount of X-ray dye is injected to outline the duct. A mammogram is then performed to determine the cause of the discharge. This test causes some discomfort but is not usually painful.

Breast cancer Biopsy

Image-guided Core Biopsy

Most breast abnormalities related to breast cancer cannot be felt and are detected by a mammogram or another imaging test. A core biopsy is performed using a small needle guided by ultrasound, MRI or mammography to obtain tissue for diagnosis. This is performed in an outpatient setting with local numbing medication.

Fine Needle Aspiration

A very thin needle is used to withdraw a small amount of tissue from the abnormal area. This technique is used for areas thought to be unsafe for needle core biopsies. The amount of tissue obtained is much less than from a core biopsy.

Wire-localized Excisional Breast Cancer Biopsy

Using mammography, ultrasound or MRI as a guide, a fine wire is placed into a suspicious lesion that is then removed by a surgeon in the operating room. This requires general anesthesia.

Excisional Biopsy (Lumpectomy)

This surgical procedure, performed under general anesthesia, removes the entire breast lump for evaluation.

Norton Cancer Institute

Regional Leader in Cancer Care

  • First in the world to treat a patient with a novel combination therapy for newly diagnosed acute leukemia
  • First in the world to treat a solid tumor patient with ONC-841, a novel immunotherapy drug targeting the SIGLEC-10 immune checkpoint molecule
  • Access to over 170 clinical trials, offering local patients the same leading-edge options available at top national centers
  • Nationally recognized center for early-phase research, with 23 active Phase 1 clinical trials underway
  • Patients from 20-plus U.S. states and two foreign countries have chosen Norton Cancer Institute for innovative cancer care
  • Only in Kentucky: Home to a state-of-the-art Norton Cancer Institute Genomics Lab, with support from the Norton Healthcare Foundation and Steven Vanover Foundation, enabling highly precise, genetically targeted cancer therapies
  • Gamma Tile Center of Excellence, as well as a two-time Novalis certification for setting the standard for stereotactic radiation
  • Subspecialized, board-certified oncologists leading cancer research and treatment advancements
  • Same-day or next-day appointments for newly diagnosed patients, plus multiple locations and valet parking to facilitate access to care
  • Multidisciplinary clinics to provide same-day, same-location access to multiple specialists for more convenient, coordinated care
  • Fully accredited by the American College of Surgeons Commission on Cancer, the National Accreditation Program for Breast Centers and the American College of Radiology

Care Designed With You in Mind

  • Comprehensive patient support, with five Norton Cancer Institute Resource Centers throughout Louisville and Southern Indiana, a patient navigator program, Norton Cancer Institute Behavioral Oncology Program, Norton Palliative Care Program, classes and events, art and music therapy, genetic counseling, nutrition services, financial counseling, pastoral care, and more
  • Medicare, Medicaid and most major insurances accepted, ensuring broad access to care
  • Specialty pharmacy services offer timely, accurate prescriptions with direct pharmacist-provider collaboration
  • 24/7 access to care tools via Norton MyChart — message providers, manage appointments, refill prescriptions and more
  • The Norton Healthcare Foundation, the philanthropic arm of Norton Healthcare’s not-for-profit adult-care services, continuously supporting the purchase of new equipment, programs, education and funding of research to ensure our patients stay up to date with medical advances and technology

Awards and Accreditations

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