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Patient Services > Women's Services > Diagnostic & Surgical

Diagnostic & surgical services

Diagnostic & surgical services at Hill Country Memorial Hospital.

Hill Country Memorial Hospital’s state-of-the-art diagnostic and surgical services are part of our coordinated approach to detection and management of women’s health issues.

Subjects covered below:
Mammography
Breast ultrasound
Breast MRI
Stereotactic breast biopsy
Sentinel node biopsy
Cosmetic surgery
.  

Digital Mammography - Hill Country Memorial Breast Center


Hill Country Memorial Hospital is now offering digital mammography services at Hill Country Memorial Breast Center. The hospital’s two new digital units offer diagnostic advantages unparalleled in the industry, including superior image quality and enhanced ease of use. Radiologists are able to adjust brightness and contrast in the images, as well as zoom in on specific areas to help detect small calcifications, masses and other changes that may be signs of early cancer. This capability may eliminate some repeat views at the time of the original exam, but it will not eliminate the need for additional studies such as specialized mammography views, ultrasound or MRI when indicated. The HCM Breast Center is located in the Brune Professional Building, 808 Reuben Street, in Fredericksburg. For more information or to make an appointment, please call 830-990-6181.

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Breast ultrasound

Ultrasonography, used in conjunction with mammography, is the technique of using sound waves to create an image of part of the body without the use of radiation.

An ultrasound exam is a safe diagnostic procedure that uses very-high-frequency sound waves to produce an image of many of the internal structures of the body. Breast-specific imaging helps radiologists fully evaluate targeted areas of the breast.

Ultrasound can be a useful tool to assist radiologists during breast biopsies as well.

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Breast MRI

Magnetic resonance imaging (MRI) technology uses a mix of physics, mathematics and high-performance computing techniques.

A patient lies on her stomach on a special table. The breast to be examined is suspended freely through an opening in a cushioned, wedge-shaped device called a dedicated breast coil. It contains signal transmitters and receivers for the radio frequencies used in MRI. Once the patient is comfortably positioned, the table is moved into a magnetic field created by a large magnet.

A super-computer reconstructs gathered information into 2D and 3D images that vividly represent conditions of health, disease or injury.

It is a noninvasive procedure that can determine what the inside of the breast looks like without having to do surgery or flatten or compress the breast.

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Stereotactic breast biopsy

A quicker, easier and less expensive way to do breast biopsies is giving women a welcome health care option at Hill Country Memorial Hospital.

We were the first hospital in the hill country to offer stereotactic biopsy, a revolutionary technique that uses three-dimensional images of the breast that surgeons use as a guide.

Instead of using a knife and a three- to four-inch incision, the surgeon uses a needle to extract appropriate tissue samples. Only a tiny nick in the skin is required, and no sutures are necessary. The patient often goes home with only a small bandage. The entire procedure can be completed in 20 to 30 minutes, often at one-third to one-half the cost of a traditional surgical biopsy.

Other benefits: It's less invasive. Patients can drive themselves to the hospital and they can drive themselves home. They don't need an IV started, and they don't have to stop eating for anesthesia purposes. It's a quicker, easier and less costly way to do breast biopsies for certain lesions.

While stereotactic breast biopsy is not appropriate for all lesions, it is worthy of discussion with your surgeon. For more information, you may contact:

> Gregory D. Andreassian, M.D.

> Jay S. Stauffer, M.D.

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Sentinel node biopsy

Traditionally, when breast cancer is present and testing the lymph nodes under the arms is indicated, all nodes are removed and examined for cancer cells.

A sentinel lymph node is the first node in the body to come into contact with the cancer cells as they leave the area of origination. In the sentinel node biopsy procedure, by using a tracer dye, particular nodes can be pinpointed, and only those few are removed, resulting in less trauma to the patient.

The sentinel node procedure also is utilized with melanoma patients, and It is used in a procedure called minimally invasive radioguided parathyroidectony (MIRP) in which a gamma probe is used to locate an abnormal parathyroid gland and allows for a small incision right over the gland.

This procedure is available at Hill Country Memorial Hospital, too. For more information, you may contact:

> Gregory D. Andreassian, M.D.

> Jay S. Stauffer, M.D.

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Cosmetic surgery

Cosmetic surgery procedures available at Hill Country Memorial Hospital include:

> Abdominoplasty
> Breast augmentation
> Breast reduction
> Breast implant exchange
>
Blepharoplasty (eyelid)

Please contact one of the following physicians for more information:

> Ernest G. Layton, Jr., M.D. at 866-714-4900

> Michael L. Walker, M.D.
 


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Hill Country Memorial Hospital  (830) 997-4353
1020 South State Highway 16, P O Box 835

Fredericksburg, Texas 78624
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