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Breast Care

The Breast Institute at JFK Medical Center

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 the NAPBC accreditation.

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Breast Care Services

The Breast Institute at JFK Medical Center offers a wide variety of services within a comfortable and compassionate environment. Services include:

This exam uses low-dose x-rays to make a picture of breast tissue. The picture is called a mammogram.

The NAPBC Board supports the recommendations of our member organizations, the American Cancer Society, the American College of Radiology, and the Society for Breast Imaging. The American Cancer Society recommends annual screening mammography beginning at age 40 years and continuing as long as the woman is in reasonably good health and a candidate for treatment. The American College of Radiology and the Society for Breast Imaging jointly recommend that women begin annual mammography screening at age 40 years and continue until life expectancy is less than 5–7 years on the basis of age or comorbid conditions, or when abnormal results of screening would not be acted upon because of age or comorbid conditions.

Screening Mammography

Screening Mammography plays a central part in early detection of breast cancers, because it can show changes in the breast up to two years before a patient or physician can feel them. The American College of Radiology (ACR) recommends screening mammography every year for women beginning at age 40. Research has shown that annual mammograms lead to early detection of breast cancers, when they are most curable and breast - conservation therapies are available.

Diagnostic Mammography

Diagnostic Mammography is used to evaluate a patient with an abnormal clinical finding such as a breast lump(s) that have been found by the woman or her doctor. Diagnostic Mammography may also be done after an abnormal screening mammography in order to evaluate the areas of concern on the screening exam.

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.

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 System (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.

This program is designed to provide advanced technology to improve breast cancer detection utilizing whole breast ultrasound, breast MRI, Molecular Breast Imaging and 3-D Tomosynthesis. Women are informed of their level of Breast Density at the time of their result and are provided a recommended surveillance plan.
Breast MRI is also available at the Breast Institute. MRI should be used for annual screening for women at high risk of breast cancer due to family history (24% lifetime risk), and can be used as a supplemental diagnostic tool to increase the sensitivity of mammography and ultrasound.
ABUS (Automated Breast Ultrasound System) Improves cancer detection by 35% over mammography in women with dense breasts. It looks at dense breasts differently to find cancer that mammography may not see. According to the American Cancer Society, breasts are considered dense if you have a lot of fibrous or glandular tissue and not much fatty tissue - "It's like finding a snowball in a snowstorm." Ultrasound is used most commonly in conjunction with mammography - not as a replacement for mammography.
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 ultrasound is a procedure that may be used to determine whether a lump is a cyst (sac containing fluid) or a solid mass, which might be cancer.
A dedicated certified Nurse Navigator skilled in women's health services provides guidance through the journey from imaging to diagnosis, to treatment and support. Special counseling is available for patients identified as high risk based on genetic profile or those identified at greater than 20% risk of developing breast cancer.
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.

What is Stereotactic (Mammographically Guided) Breast Biopsy?

Stereotactic breast biopsy uses mammography - a specific type of breast imaging that uses low-dose x-rays to help locate a breast lump or abnormality and remove a tissue sample for examination under a microscope. It's less invasive than surgical biopsy, leaves little to no scarring and can be an excellent way to evaluate calcium deposits or tiny masses that are not visible on ultrasound.

View an animated version of this procedure.
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.
NAPBC Accredited

The Breast Institute at JFK Medical Center participates in the National Accreditation of Breast Centers (NAPBC) that is governed by the American College of Surgeons. This designation is obtained by undergoing a rigorous process of screening, site visits, and ongoing review. The centers are reviewed to ensure that they meet high standards for 17 KEY PROGRAM COMPONENTS of quality care for breast disease.

The Program elements are:

  • interdisciplinary patient care conference
  • data management
  • patient navigator
  • survivorship program
  • pathology
  • imaging
  • needle biopsy
  • surgical care
  • radiation oncology consultation/treatment
  • medical oncology consultation/treatment
  • nursing and rehabilitation
  • genetic evaluation and management
  • education, support, and rehabilitation
  • plastic surgery consultation/treatment
  • research
  • outreach and education
  • quality improvement

NAPBC accredited centers embrace the entire spectrum of breast care, providing women with access to a range of Board-certified specialists, including breast surgeons, breast radiologists, medical oncologists, radiation oncologists, breast pathologists, plastic reconstructive surgeons, genetic counselors, and psychosocial support.

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.

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.

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.

Your Time

Please expect to be in the center:

  • Approx. 45 minutes for screening mammogram.
  • Approx. 1-2 hours for a diagnostic exam (which may include ultrasound).

Your History

You will be asked to fill out a detailed patient history, including:

  • Family history, previous mammograms or breast operations, skin abnormalities, hormonal usage and start and end (if applicable) of menstruation.
  • Your scans will then be interpreted, and a report will be sent to your physician.
  • Be sure to consult your physician concerning the results of your mammogram.

Preparing for Your Mammogram

To ensure that your mammogram results are accurate, we recommend:

  • Avoid scheduling your mammogram procedure during the week before your menstrual period to avoid any breast swelling and tenderness.
  • Bring original screenings of any mammograms you have had at other institutions in the last 5 years for the radiologist to compare with today's exam (results are delayed without prior screenings).

Day of Exam

  • You may use an over the counter pain reliever (caffeine-free) 1 hour prior to your mammogram to lessen the discomfort.
  • Wear a blouse or sweater, rather than a dress to make undressing easier. You will be given a gown to wear.
  • Do not use deodorant, powder, perfume, creams or lotions on your underarms or breast area, because they leave a residue that may interfere with your mammogram results.


  • The services of the radiologist will not appear on your hospital bill.
  • The radiologist will send a separate bill.