Referent

Dr. Mara
Tonegutti

When are we operational?

 

We are available from Monday to Friday, from 8:00 to 19:00 and Saturday from 8:00 to 13:00

Diagnostic procedure

 

The procedure is in line with PDTA (Percorso Diagnostico Terapeutico Assistenziale) of Regione Veneto. All patients undergo clinical examination with breast and axillae inspection and palpation by a radiologist. Medical history is gathered with particular attention to the reproductive field and personal (age, past mammary surgery, hormone replacement therapy for menopause, hormonal stimulation for sterility, mediastinal radiotherapy, etc.) and family (first and second-degree relatives with breast or ovary tumor) risk factors. It then passes on to instrumental diagnosis. First approach is decided depending on diverse factors: age, clinical questions and eventual risk factors for breast cancer. In young patients, before the age of 36, for reasons of radioprotection and in absence of risk factors or clinical findings, the method consists in BILATERAL BREAST ULTRASOUND with axillary exploration. After the age of 36 the method consists in BILATERAL 3D MAMMOGRAPHY (TOMOSYNTHESIS). The investigation is always paired with bilateral breast ultrasound and ultrasound axillary study. With this association high accuracy levels can be reached for clinical breast examination. If any palpable of non-palpable alteration is found during diagnostic process and it requires typing (diagnosis of nature), a follow-up with collection of cellular material for cytological exams is organized, immediately and with informed consent by the patient. Fine-needle aspiration is usually ultrasound-guided or, less frequently, under mammographic guidance (stereotactical). First level analysis (clinical visit, mammography and bilateral breast ultrasound) aren’t sometimes sufficient for a definite diagnosis. In these cases, other more complex instrumental methods are used like the study of breast through MRI with or without contrast medium (injected into the cubital vein). The finding of suspect alterations calls for more sophisticated sampling methods for micro-histological material with large needle (TRU CUT) or VACUUM-ASSISTED TECHNIQUE. The result of integrated diagnosis, meaning with the use of different methods, is personally communicated by the radiologist to the patient, when all data is available. If the necessity is found for surgical, oncological, radiotherapy or rehabilitation treatment, the patient is directed to the dedicated specialist, operating in the same structure. This specialist in turn will contact the patient’s general practitioner. The different specialists involved in breast pathology, meet every fifteen days for consultation about the cases and to decide the most appropriate therapy.

 

Diagnostic methods

 

Diagnostic methods used by this Service for breast study are the following:

 

  • 2D and 3D mammography (tomosynthesis)
  • Galactography
  • Ultrasound with probe dedicated to the study of soft tissue
  • Fine-needle aspiration for cytological examination (ultrasound guided or stereotactic)
  • Large-needle aspiration for micro-histological examination (tru cut)
  • Needle aspiration with vacuum-assisted system (Suros), stereotactic with different modalities:
    – prone patient on a cot (2D)
    – 2D and 3D with sitting and prone patient (tomosynthesis)
  • Breast MRI with dedicated coil (1,5 Tesla)

Online reservation system

Access the online reservation system to download your report in digital form.

Did you know that an automated service for report collection is available in our structure? It operates 24/7 in the central reservation area.

Access the service

CUP - Unified Reservation Center

Need to book or cancel a visit? Here are the phone numbers:

Reservations 045 644 92 70
Cancellations 24/7
by calling or leaving a message
045 644 92 30
Opening hours From Monday to Friday
from 8:00 to 19:00
Saturday from 08:00 to 12:00

Have a smartphone? To book your visit by National Health Service it is possible to download the app on Google Play or App Store


Download on the App Store GET IT ON Google Play

Some exams performed in our structure

Cytological and histological exam

This exam doesn’t require consent or specific preparation

Mono or bilateral breast mammography

This exam doesn’t require consent or specific preparation

Mono or bilateral breast ultrasound

This exam doesn’t require consent or specific preparation

Breast clinical instrumental examination

This exam doesn’t require consent or specific preparation

Vacuum-assisted breast stereotactic biopsy

This exam doesn’t require consent or specific preparation

Information and communication

We are very attentive to relations between patient and doctor.

Clinical senology examination permits a tight relationship between doctor and patient. The medic can provide the patient and/or his family all necessary information and, when needed, direct the women directly to other colleagues.

Are you a patient or a relative?

 

For every question about the hospitalized conditions, we are at your disposal.

 

Contact us

Useful information for an optimal completion of instrumental senology examinations

  • Previous documentation about breast pathology and treatments received (diagnostic exams, medical records, breast prosthesis type, etc.) should be brought along.
  • 3D mammography or tomosynthesis in a technological innovation which permits the study of breast layer by layer. It provides more accurate diagnostic information, particularly in high-density breast.
  • Before undergoing a radiological investigation of breast (mammography, galactography, etc.) and breast MRI, ongoing pregnancy must be excluded with certainty (especially at an early stage)
  • Women of childbearing age should undergo mammography and MRI exams in the pre-ovulatory time, within 14th – 16th day from the first day of menstruation.
  • To undergo breast MRI during menopause, the eventual hormone replacement therapy should be interrupted at least one month before the exam.
  • The collection of cytological material through needle aspiration is the microscopic completion of the diagnostic procedure. It should be carried out where the diagnostic procedure is started.
  • Third level examinations (Tru Cut, vacuum-assisted biopsy, MRI) are recommended during first level investigations.
  • Breast MRI is a preventive investigation in asymptomatic patients only for young women with significant family risk or for mediastinum radiotherapy.

Our medics

Here are the Doctors who will take care of you.

Dr. Mara Tonegutti

Dr. Micaela Faroni