The Breast Institute at JFK Medical Center supports patients every step of the way – from diagnosis through treatment. Breast-disorder patients have the opportunity to consult with the appropriate medical experts in surgery, medicine, and radiation oncology, as well as radiologists and nurses. Our highly-trained staff works closely with each patient to plan and execute the most effective course of treatment.
Because we consistently strive to meet and exceed accreditation standards, The Breast Institute at JFK Medical Center has proudly earned NQMBC accreditation, as well as NAPBC accreditation.
Breast Care Services
The Breast Institute at JFK Medical Center offers a wide variety of services within a comfortable and compassionate environment. Services include:
When doing a breast self-exam (BSE), you feel for anything new or different. You will be able to feel a particularly lumpy portion of the breast. Sometimes cysts appear and disappear. Masses that come and go are generally not cancerous. Other than new lumps, look for nipple discharge (either clear or bloody), dimpling of the skin, thickening of the skin, redness of the skin, pain, new lumps, or a fullness feeling in the armpit.
There is a lack of evidence that breast self-exams can reduce your risk of death from breast cancer. The USPSTF does not recommend this self-screening, and the ACS views the exam as optional for women aged 20 and older. ACOG suggests that it is considered in high-risk women.
If you are unsure as to whether you should do a breast self-exam, talk to your doctor. To learn how to do the exam, click here .
Clinical Breast Exam
During your routine physical exam, your doctor may do a clinical breast exam (CBE). Your doctor will carefully feel your breasts and under your arms to check for lumps or other unusual changes. Both the ACS and ACOG recommend that women 20 to 39 years old have the exam every three years, and every year for women aged 40 and older.
USPSTF has no recommendations for this exam.
A mammogram is a special x-ray of the breast that may be able to find tumors that are too small for you or your doctor to feel. Your doctor may suggest that you have a mammogram, especially if you have risk factors for breast cancer.
Guidelines for getting a mammogram vary depending on the organization:
- USPSTF: 40 to 49 years old—the decision to have a mammogram every two years is an individual one. You should make your decision after you understand the risk and benefits that apply to you. Talk to your doctor. 50 to 74 years old—every two years.
- ACS and ACOG: 40 years and older—every year.
The USPSTF, the ACS, and the ACOG do not give specific guidelines as to when women should stop having mammograms. But, the American College of Radiology and the Society of Breast Imaging recommend that mammograms should end when an older woman's health is poor and treatment would not be beneficial.
The accuracy of a mammogram to detect cancer will depend on several factors. It may be affected by the size of the tumor, your age, breast density, and the skill of the radiologist. Although mammograms are the most sensitive test currently used to evaluate the breast, they will miss 10%-15% of breast cancers. Mammograms have a false-positive result almost 1/3 of the time. A false-positive result occurs when a test suggests an illness that actually does not exist.
Magnetic Resonance Imaging (MRI)
MRI scan is a procedure in which a magnet linked to a computer is used to create detailed pictures of areas inside the body. MRI scans are used to evaluate breast masses that have been found by BSE or CBE and to recognize the difference between cancer and scar tissue. This type of imaging test is also used in women with a diagnosis of breast cancer to search for other lesions that may not be seen on mammography. An MRI scan can be used as a screening tool for certain women who are at high risk for breast cancer.
The use of breast MRI scan has increased lately. But, this test is not for all women. You and your doctor can discuss whether an MRI scan is the right test for you.
During an ultrasound, sound waves are bounced off tissues, and the echoes are converted into a picture (sonogram). An ultrasound may be used in cancer screening if you:
- Are at high risk for breast cancer and cannot have an MRI scan.
- Have dense breast tissue.
This test can also be used to evaluate lumps that have been identified by a BSE, CBE, or mammography.
This exam uses low-dose x-rays to make a picture of breast tissue. The picture is called a mammogram.
The United States Preventive Services Task Force (USPSTF) recommends that women aged 50-74 years old get a mammography every two years. Other organizations recommend screening every year starting at age 40. Women who are at high risk for breast cancer may need to have mammograms starting at an earlier age and more often. Most organizations in the United States and Canada recommend regular screening. There are some differences of opinion among these groups, such as when to start and how often to have the screenings. Talk to your doctor about what is best for you.
Digital Breast Tomosynthesis (3-D Mammography)
Digital Breast Tomosynthesis, also known as 3-D mammography, takes many x-rays at different angels to create a three-dimensional image of the breast. Digital Breast Tomosynthesis has the potential to significantly increase the cancer detection rate of mammography screening in women with dense breasts.
Computer-Aided Detection System (CAD)
Serves as a second set of eyes after a mammogram.
Ultrasound Guided Biopsy/Cyst Aspiration
A biopsy is the removal of a sample of tissue or cells. The sample is examined under a microscope.
A biopsy may be taken from any part of the body.
Click here to view an animated version of this procedure.
Pre-operative Education programs
Weekly breast-focused multidisciplinary conference
Second Opinion Consultations
Bone Density Testing
Dual energy X-ray absorptiometry (DEXA) is a test that measures the density of your bones.
The DEXA scan is an x-ray scan that uses a small amount of radiation to take pictures of different bones. These pictures are used to measure the density of the bones at the spine, hip, and forearm. It can also take pictures of other bones such as a finger or the heel bone. Measurements of the spine and hip are called central DXA. Those done on the arms or legs are called peripheral DXA. In some cases, your doctor may order a whole body scan.
MBI - Molecular Breast Imaging
Molecular Breast Imaging (MBI) uses a radioactive tracer that "lights up" abnormal areas inside the breast. When used in addition to mammography, MBI can be used for screening women with intermediate risk of breast cancer (13-23% lifetime risk). MBI finds more cancers in women with dense breast tissue.
Breast MRI & MRI Biopsy
Automated Breast Ultrasound (ABUS)
Clinical evidence demonstrates that for women with dense breast tissue, supplementing mammograms with whole breast ultrasound screening can increase breast cancer detection by 3 to 8%. Ultrasound is used most commonly in conjunction with mammography, not as a replacement for mammography.
Dense Breast Program
At JFK Breast Institute, our Dense Breast Program identifies women with dense breast tissue, which can only be determined by mammograms. Specialized breast imaging can help find cancers in dense breast tissue that are otherwise difficult to find. Our Specialized Breast Imaging includes:
- Digital 3-D Mammography (Tomosynthesis)
- Automated Breast Ultrasound (ABUS)
- Molecular Breast Imaging (MBI)
- Magnetic Resonance Imaging (MRI)
- Image Guided Biopsy
Along with our Dense Breast Program, we also use the newest and most complex tools to calculate your risk of breast cancer. Based on this score, supplemental screening/surveillance may be recommended.
Education and Support
The Breast Institute at JFK Medical Center offers a full range of non-medical support services for patients. Psychosocial, educational, and nutritional services are provided to assist the patient and family, including:
- Breast Cancer Prevention Program for High Risk patients
- Breast Health Resource Library
- Community outreach and educational programs
- Individual and group counseling
- Nutritional counseling
- Access to genetic counseling and screening
- Online resources
- American Cancer Society Look Good- Feel Good Make Up Sessions
We’re always hosting a variety of research trials within JFK Medical Center’s Research Department. Check with your physician or contact the Research Department at (561) 548-1414 to find out when a trial that might be appropriate in conjunction with your treatment plan is scheduled.
Breast Institute Staff
Our Breast Institute Team is comprised of the most highly-trained and experienced doctors and medical staff in the area. Medical Director, Dr. Beth-Ann Lesnikoski is a Harvard-trained surgeon and a renowned expert in breast oncology and breast surgery, including oncoplastic surgery. Our facility is home to Radiologists who are specialized in Mammography and breast-related studies, Rehabilitation Specialists, a Breast Imaging team and a Nurse Navigator.
The Breast Institute at JFK Medical Center
4685 S. Congress Avenue, Suite 200
Lake Worth, FL 33461
For appointments or more information about the Breast Institute at JFK Medical Center, please call 1-877-331-7007.