Breast Health Center

Director of the Center: Dr. Zuhair Abu Rahma

The Center is a multi-disciplinary institute for diagnosing and monitoring breast diseases of all ages, with an emphasis on preventive medicine and early detection of breast cancer. The Center is a unique place that provides women with special services under one roof - diagnosis, imaging and biopsies,

The center is a leader in imaging, both in terms of equipment and in terms of knowledge and professionalism.

Breast cancer is the most common cancer among women in the Western world. Early detection can lead to complete cure of the disease, and therefore much effort is being made in this direction. The breast imaging unit diagnoses benign and malignant breast diseases using imaging tests: mammography, ultrasound, and MRI. In addition, tests are performed for diagnosis by biopsy and acupuncture.

Digital mammography is the newest and best technology in the area of ​​mammography devices, and it has several advantages:

- A more accurate diagnosis in young women and women with dense breast structure.

- The possibility of processing the image gives better ability to see the skin and nipple area and improves the diagnostic ability.

- The digital test is stored on the computer and stored in the digital archive of the hospital, and thus can not be lost.

technique :

In a routine mammogram, four shots are taken, two for each breast. The filming takes place when the breast is pressed between two hard surfaces. Stress can cause some discomfort or pain for only a few seconds. It is designed to cause the breast tissue to spread, which makes it possible to separate them without hiding each other. The more compressed the breast is the less radiation required to shoot.

The examination was performed by a radiologist specializing in breast imaging. Sometimes, after the interpreter examines the photographs, additional photographs are required. In most cases, this is technically because the routine poses are not sufficient to fully demonstrate all breast tissue. This does not mean that we find suspicious findings.

How do you prepare for mammography?

Avoid using body cream, deodorant, or talcum (which can cause image distortion). If you have previous tests, bring them with you.


Mammography screening results are limited, and it is recommended to undergo an ultrasound examination in the following cases:

1. The quality of the finds, which is illustrated in mammography.

2. Women with dense breast structure.

3. Women after breast surgery (lymphoma) and radiation therapy.

4. Women who have gone through increasing demons.


Breasts Ultrasound :

An ultrasound examination of breasts is used for visualization of the breasts. The ultrasound device creates images of the breast using sound waves at frequencies higher than the human hearing threshold. This is a non-invasive test that does not involve pain or risk.

Unlike X-ray or CT, this test does not involve exposure to ionizing radiation (high-energy radiation that can release electrons from atoms and thus damage the hereditary material in cells and cause cancer or birth defects in fetuses).

When is it necessary to do an ultrasound examination for breasts?

Your doctor may refer to an ultrasound examination for breasts in the following cases:

Examination of a breast problem - for example, a lump used in the examination, an unexplained discharge from the nipple, or a suspicious finding discovered in a mammogram.

Complimentary screening for mammography as part of a screening program for early detection of breast cancer - especially in young women (with denser breast tissue), in women who have breast implants in the breast or in pregnant women.

Women after breast surgery (lymphoma) and radiation therapy.

When a biopsy is necessary from a suspicious breast lump, the doctor may do the ultrasound-guided biopsy to ensure that the sample is taken from the exact location of the breast.

Before the examination, you will be asked to remove clothing and jewelry from the upper body.


MRI is the most sensitive test for breast cancer detection. The imaging is performed using magnetic resonance, without x-ray radiation. The advantage of breast magnetic resonance imaging (MRI) is the ability to detect malignancy, when it can not be demonstrated by other imaging modalities, such as mammography and ultrasound.

Breast MRI is effective in the following cases:

- Preoperative evaluation in a patient with known cancer, for an accurate evaluation of the extent of the disease and detection of tumor in the other breast.

- Doubt regarding residual cancer cells, after surgery for removal of breast tumor.

Accurate evaluation of the response to chemotherapy for women receiving the treatment prior to surgery.

- Screening of women with high genetic risk (BRCA carriers).

- Evaluation of implant integrity in women with implants.

The test takes place on the abdomen, and it takes 30-40 minutes. Before the test, a contrasting substance, gadolinium, which is absorbed into the breast in areas with multiple blood vessels and is quickly released from the body, is injected into the vein without side effects. After injection of the contrast material, findings rich in blood vessels or thickeners will soon be stained in comparison with the rest of the breast tissue.

It is important to know that the test should be performed on the 7th to 14th of the beginning of the menstrual cycle, due to hormonal changes that may affect the test image. There is no need to be fasting.

It is not possible to offer women with a pacemaker or other implanted device containing metal or metal fragments other than titanium orthopedic implants.


Demography (Galactography):

Catheterization of the mammary duct in women with a discharge from the nipple, but no mammography or ultrasound findings were shown. The catheterization is done using a fine needle, injection of a small amount of iodine and directed mammography shots. An examination of the excretion of the nipple can be completed using MRI.

Breast biopsy:

A breast biopsy is a sample from a suspicious lump discovered in the breast to determine whether it is benign or cancerous.

Today, most biopsies are performed by needle acupuncture rather than surgery. Needle biopsy has some advantages over surgery: it is less painful, it is safer, and the scars it leaves are smaller because to make it can be satisfied with smaller incisions. The biopsy can be done using a thin or thick needle.

Fine needle biopsy (FNA - Fine Needle Biopsy) is suitable for unique conditions such as breast cysts. Its accuracy is lower than that of a thick needle biopsy. Since the needle is used very thin, the test can be done without anesthesia at all. The wound that remains on the skin is very small and usually does not cause the scar.

A core needle biopsy allows a cylinder of breast tissue to be examined. The needle is inserted through a small incision in the skin after the patient receives an injection for local anesthesia. Most of the incision does not require stitches and quickly recovers.

In order to pinpoint the suspicious area of ​​the breast from which to take the biopsy, the doctor can use the tactile sensor if the suspect can be felt. If you can not feel it, your doctor may use different imaging tests. The most convenient and available imaging test is breast ultrasound.

Stereotactic biopsies.

In cases where a biopsy of a mammogram is needed, the biopsy can be performed using a special biopsy needle and with stereotactic guidance - that is, guided mammography using a special bed and computer system.

Patient's page for needle biopsy

Guidelines after the test

Biopsy answers will be received within 10 days.

Director of the breast unit: Dr. Abu Rahma Zuhair

Rantgenian Responsible for Breast Unit: Shalian Amal

Mammography and ultrasound tests may be requested through telephone calls




You can apply for a biopsy appointment

Secretary of the Unit Manager Hanan Nasir: 0747231718

השתתף במייל

מספר פלאפון : 04-6508900


נצרת ישראל 15/6004



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