Breast Imaging

UP Health System - Marquette is one of the few all-digital, full service breast imaging and diagnostic centers in the area.  We are committed to providing highly personalized quality service in a caring environment with a passion for communication and education.

UPHSM has been designated a Breast Imaging Center of Excellence by the American College of Radiology (ACR).

 Our breast imaging services at the center include ACR accredited mammography, breast ultrasound and ultrasound guided biopsy, stereotactic breast biopsy, breast MRI, MRI guided breast biopsy and Lymphoscintigraphy.  Women want an eye for detail -     physicians who are trained to detect the slightest abnormalities in breast imaging.  A trained eye increases the survival rates when paired with state-of-the-art breast imaging equipment.

The breast imaging services at UPHSM are fully accredited by the ACR. Peer-review evaluations, conducted in each breast imaging modality by board-certified physicians and medical physicists who are experts in the field, have determined that this facility has achieved high practice standards in image quality, personnel qualifications, facility equipment, quality control procedures, and quality assurance programs. 

UPHSM is among 802 centers throughout the nation to achieve this designation. By awarding facilities the status of a Breast Imaging Center of Excellence, the ACR recognizes breast imaging centers that have earned accreditation in all of the College’s voluntary, breast-imaging accreditation programs and modules, in addition to the mandatory Mammography Accreditation Program.


Services


BREAST CONDITIONS

  • Fibrocystic change
This is not a disease. It is a non-cancerous condition affecting 50-60% of all women. Fibrocystic change is the most common breast condition in women between the ages of 20 and 50. Breast tissue becomes “lumpy” and may contain small cysts (fluid-filled sacs or “pockets”) as a response to female hormones. You may notice your breasts feel lumpy and tender before menstruation, and normal when your period ends.
  • Fibroadenoma
This is a solid lump (tumor) of fibrous and glandular tissue. It occurs most often in women between 18 and 35 years of age. It accounts for nearly all breast tumors in women under 25 years of age. The lump is not usually tender and generally can be moved when felt with the fingertips.
  • Papilloma
This small, wart-like lump grows in the lining of the mammary ducts, near the nipple. It often results in a discharge, either clear or bloody, from the nipple. It is a non-cancerous lump that will not invade surrounding tissue and is not a threat to life. It may need to be removed to prevent interference with normal breast function.
  • Breast microcalcifications
A very common sign of breast disease found by mammography is microcalcifications, which are very small calcium deposits in the breast tissue. Calcifications vary in shape, often occur in tight groups, and are found in both benign and malignant conditions.
Clusters of microcalcifications are routinely biopsied. Even when results of the exam are benign, the type of calcification may still be of concern. It may be necessary to remove the entire group of calcifications for further examination.
  • Malignant breast tumor
A malignant (cancerous) breast tumor, if not detected and treated early, will continue to grow, invading and destroying nearby normal tissue. If not treated, it will spread to surrounding lymph nodes. Then, by a process called metastasis, cancer cells will break away from the tumor and spread, through the lymph system and bloodstream, to other areas of the body.  Mortality rates have decreased over the past several years due to early detection and improved treatment.  If you are diagnosed with breast cancer, the most important thing for you to remember is that this is not a hopeless condition.  Early detection and modern therapy with a combination of surgery, radiation, drugs, or hormones can help many patients.
  • Nipple Discharge

  Nipple discharge is the third most common breast complaint which women seek medical attention for, after lumps and pain.  The majority of nipple discharges are associated with non-cancerous changes in the breast such as hormonal imbalances or papillomas.  However, because a small percentage of nipple discharges can indicate breast/nipple cancer, any persistent discharge should be evaluated by your physician.  Nipple discharge may be a concern if it is: bloody/watery with a red, pink or brown color, sticky and clear to tan in color, on one side only, and persistent.
  •  Simple Cysts
Simple cysts are accumulations of fluid in the breast.  Simple cysts are non-cancerous and present themselves in the form of smooth, rounded lumps.  While the cause of simple cysts is unknown, experts do know that such cysts respond to the body’s hormone level.  A simple cyst can be drained with a fine needle to reduce discomfort.
  •  Complex Cysts
If the radiologist detects an area with fluid that does not meet the criteria of a simple cyst, they may term them a complex cyst.  Complex cysts can be cancerous because they are actually not cysts, but tumors that have necrosed, or bled into themselves.  An ultrasound guided biopsy can be done for a definite diagnosis.

FREQUENTLY ASKED QUESTIONS

When will my results be available?
   Results will be available within 36-48 business hours
 
How do I prepare for a biopsy?
1. Your physician’s office will schedule & pre-register you for the exam.  Prior to your procedure, your imaging will be reviewed by the Radiologist.
2.  If you must reschedule your exam, call Central Scheduling at 906-225-3551 or 1-800-562-9753, extension 3551.
3. You may have your usual diet before and after the exam.
4. Take your usual daily medications. If you take a blood thinner, ask your doctor about stopping it for three days before the procedure.
5. Do not take any drugs that have a sedative effect like pain medicine or drugs for anxiety.
6. Make arrangements for someone to drive you home. Ask your driver to meet you in the ImagingDepartment and escort you to the car.
7. Arrive in the Imaging Department at Marquette General Hospital 30 minutes before your scheduled exam time.
8. Wear a comfortable two-piece garment with a loose fitting top.
  
1. How long will the test take?
• Ultrasound or Stereotactic - About 1-2 hours from registration to discharge.
• Needle Localization - About 7-8 hours from registration to discharge.
 
2. Do I need a driver? 
    Yes.
 
3. Is it going to hurt?
    Most patients report only mild discomfort.
 
4. When can I go back to work?
    Within 24-48 hours, if you feel okay and your job does not involve any strenuous activity that
     requires the use of your chest muscles. If your job involves strenuous activity, you may return to work after 24-48 hours or when you feel able to perform your job duties.
 
5. When will I get the results?
     In about 36-48 business hours.
 
6. Who will inform me of the results?
    Your doctor who ordered the exam.
 
7. What discharge instructions will I need?
   The radiology nurse will review specific home care instructions with you. Special arrangements may
    be needed if any of the following restrictions will interfere with your work or daily activities.
    You should avoid strenuous activities such as tennis, heavy lifting, swimming, skiing, golfing,
    vacuuming, housecleaning, laundry etc. for 48 hours, or until you feel able to perform these  
    activities.
 
For the next 24 hours, you will have the following restrictions. Special arrangements may need to be made if these restrictions interfere with your WORK OR DAILY ACTIVITIES:
Do not drive
Do not drink alcoholic beverages
Do not make important decisions
Do not operate machinery
Do not take other sedatives
 
Watch for sign/symptoms of infection(fever, chills, drainage), bleeding, or anything else that does not seem normal to you.
 
What if I need to see a surgeon?
 
Surgical Associates of Marquette at the Upper Peninsula Medical Center, offers group consultation with surgeons and cancer specialists for patients diagnosed with breast cancer. With your doctor’s referral, the appointment number is 906-225-3853 or 1-800-562-7829.
 
What support systems are available if I have a positive diagnosis?
 
The Breast Cancer Coordinator will assist you through the consultations of the surgeon,  and if needed the Radiation and Medical Oncologist. 
 
If my biopsy is negative, what follow-up should I expect?
 
Follow-up after a breast biopsy is very important, even if the results were negative. The radiologist may recommend a follow-up imaging study because the removal of tissue for a biopsy may change the way your breast appears on a film image in the future. Your doctor will give you the order for any follow-up exams. You will receive a reminder in the mail to schedule your follow up Mammogram.