Mammography & Complex Breast Imaging Department
In the Breast Imaging & Mammography Department it is carried out the early diagnostics and treatment of the most frequent malignant disease – breast cancer, which allows starting its treatment on time and save the lives of 9 out of 10 patients. Besides, the capacities of reconstructive surgery allow fully reconstruct the esthetic appearance of the breast with the help of the one –stage operation, meantime saving the quality of the life.
The screening program (regular examinations of women) helps in early diagnostics of the cancer of mammary gland. According to statistics, approximately 20% of female population is under the risk of the getting the breast cancer. But they are not more than 30% of the women who already have breast cancer. That’s why the examination of the breast has to pass all the women.
Among necessary examinations for the screening of the cancer of mammary gland the most significant are the mammography, ultrasound examination, clinical examination and self-examination of the mammary gland.
The mammographic examinations of the mammary glands are conducted for the screening of diseases and diagnostics as well as with prophylactic purpose. This X-ray examination is accompanied by low doses of radiation and absolutely painless. The main merit of this method is that it gives the possibility of discovering of the breast cancer on the earliest stages (less than 5 mm in diameter). The mammography can also reveal the some very small depositions of calcium in mammary gland, which can be one of the early sign of the cancer.
Mammography gives the opportunity of discovering the tumors of the breast for 2 years earlier than the woman could palpate it herself. As it is known, on time diagnostics increases the effectiveness of the treatment, improves the prognosis, at the same time increasing the percentage of the organ- preserving operations, because if the breast cancer has been discovered on the early stage and hasn't yet intruded into the adjacent tissues or created metastasis, it could be easily excised. In this situation the surgeon can perform just partial glandectomy, instead of such radical life-saving operation as a removal of the whole organ (mastectomy).
The generally accepted recommendation for all women over 35 -40 years old is - a regular mammography, at least once per two years, even if the woman doesn't have any complains regarding the condition of her mammary glands. The women after 45-50 have to have mammography examination every year. In case of necessity mammography could be conducted more frequently. When the women have complains and concerns regarding condition of mammary gland (presence in mammary gland formations, nodes, changing of the skin, mammilla, excretion from the mammilla) they have to have consultation of specialists (mammologist, gynecologist, surgeon or oncologist), who would determine the necessity of mammography and the strategy of further examination.
The mammographic examination have to be done from 5 to 12th day of the menstrual cycle counting from the first day of menstruation. At this period of menstruation the mammary glands are not tense and softer and the mammography examination is not only less sensitive, but also is more informative for physician. At the period of menopause the mammography can be done at any day. No special preparation for this type of examination is needed. The only contraindications for mammography are pregnancy and lactation.
«Mammography – is the pledge of woman's health», - that's the motto of Department of Mammography.
The Breast Imaging & Mammography Department is equipped with digital Selenia Dimensions Mammography System from HOLOGIC, and also with specialized Toshiba Aplio 500 Sonography System. The Sonograph is equipped with function of flexography and MicroPure ensuring screening as well as diagnostic examination of breast, and also with biopsy attachment. Mammography shows the presence of formation, and the ultrasound makes diagnosis of the structure of this formation tissue.
Up to 35 years in female mammary gland prevails the glandular tissue; therefore the ultrasound examination is more informative. At this case the mammography is considered as an additional examination. At the age older of 40 the mammographic examination becomes first and foremost; and as an additional examination would be considered the ultrasound examination. Mammography and ultrasound examination of the breast in complex give the opportunity of more detailed examination, which allows visualizing even insignificant changes in the mammary glands with the accuracy up to 95 %, that could be impossible in condition of this examination method separate use.
The main direction of the activities of the Department is complex early diagnostics of the breast cancer in the preclinical stage.
Diagnostic mammography includes the diagnostics of benign tumors, malignant tumors of mammary glands, benign disease of mammary glands (mastopathy, mastitis) etc.
In its work the Department uses international protocols of screening mammography by American College of Radiology and European Radiology Association Guidelines for screening mammography
- Chair of Radiology Diagnostics for postgraduate and continuous medical education of Yerevan State Medical University after M. Heratsi
The staff, performing academic activity
Assistent Professor – Akopyan Lusine
The number of students per year and their level of education
There are about 40 radiologists per year passing their training
- Post-graduate training,
- Clinical Residency
Education material for specialists
Education material for Patients