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Pathology

Robert R. Cawley, D.O.

Dover, NH 03802

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Breast and Bone Health Imaging Services

Leaders in Advanced Breast and Bone Imaging

You deserve compassionate, high-quality breast and bone diagnostic imaging, screenings and care. ​​​​​​​​​​​​​​​​​​​​​

Our professional teams at Women’s Life Imaging in Somersworth and The Center for Breast Health in Portsmouth offer the most advanced, comprehensive breast and bone imaging services in the Seacoast region.

Early Detection Saves Lives

We understand early detection of diseases like breast cancer and osteoporosis is critical to offer you the most viable and effective treatments.

We were the first in the Seacoast region to offer Hologic Genius™ 3D Mammography™. Today, all of our mammography screenings are done in 3D, which has been clinically proven to detect cancer at its earliest stage and reduce the need for additional testing.

Our specialty services include:

Benefits of 3D Mammography

3D mammography has been proven to improve early detection of breast cancer and reduce unnecessary callbacks. Successful treatment and survival rates for breast cancer patients are dramatically improved by early detection. If we find breast cancer early, before it has spread to lymph nodes, the five-year survival rate is almost 100 percent.

This advanced technology takes multiple breast images in seconds. Instead of viewing all the complexities of your breast tissue in one flat image, the doctor can examine the tissue layer by layer. Fine details are more visible and no longer hidden by the tissue above or below. This technology is especially beneficial for women with dense breast tissue.

More than 200 clinical studies have shown that by using this technology, doctors can screen for breast cancer with greater accuracy.

What to Expect During Your 3D Mammogram

3D mammography is done much like the conventional 2D exam. The technologist will position you, compress your breast, and take a 2D image and 3D images from different angles. There’s no additional compression required and it only takes a few extra seconds for an exam.

The technologist will view the images of your breasts at the computer workstation to ensure quality images have been captured for review. An experienced breast radiologist will then examine the images and report results to either your physician or directly to you.

Breast Biopsy

A breast biopsy is ordered when a mammogram indicates an abnormality such as a suspicious mass, calcium deposits, or areas of abnormal tissue change. Our fellowship-trained breast radiologists use advanced stereotactic, ultrasound or MRI guided needle biopsies to provide the most accurate results.

Bone Density Testing

A bone density test is a quick, painless screening that can help determine if you are at risk for bone diseases like osteoporosis. Low bone density can increase your chance for fractures. If you have low bone density, your doctor may recommend treatments to slow or stop your bone loss.

Women who are post-menopausal or age 50 and older - or a man over the age of 65 - should talk to their doctor about having a bone density test. For your convenience, bone density tests can often be scheduled on the same day as your mammogram.

Contact Us

We have two locations offering convenient scheduling and ample free parking. The Breast Health Center is located at the Portsmouth Outpatient Center Building A and Women’s Life Imaging is in Somersworth, NH.

To schedule an appointment, please contact 603-742-6673.

Current Wentworth-Douglass patients can also schedule their annual mammograms through Mass General Brigham Patient Gateway.

Should you require further care or testing, our certified breast health nurse navigators will help coordinate and schedule appointments, answer questions and offer guidance and support throughout the course of your care.

FAQs

When should I start getting mammograms?

We believe that every woman should have an annual mammogram beginning at the age of 40. That is the recommendation of the American College of Radiology and the Society of Breast Imaging.

We believe these annual screening mammograms are important because with early detection, the five-year breast cancer survival rate is nearly 100%.

We recommend talking with your primary care provider and insurance carrier to determine the screening schedule that’s best for you.

Why do I need a follow up screening?

Rest assured, a call back does not mean you have cancer. Ten out of every 100 women who get a screening mammogram will be asked to return for an additional mammogram or breast ultrasound. Of those called back, the majority will have a normal result. Less than 10% will be referred for a needle biopsy.

At your follow-up appointment, the technologist will take focused breast images to get more details of a specific area. While you are waiting, these images are carefully reviewed by the radiologist to decide the plan of action. This entire process will often take longer than your usual screening mammogram.

Does a 3D mammogram require more radiation exposure?

The radiation exposure of a 3D mammogram is comparable to a conventional 2D mammogram. Both a well below the acceptable limits set by the FDA.

What does it mean to have dense breasts?

About 40% of women have dense breasts. Dense breasts have more glandular and fibrous tissues than fatty tissues. Dense breast tissue can increase a woman’s risk of breast cancer, making annual mammograms even more important.

Mammograms of dense breast can be harder to read; however, 3D mammograms have been shown to improve the chance of finding cancer.

How can I determine if I am at high risk for breast cancer?

One in eight women will develop breast cancer in her lifetime, and most women have no family history of the disease. Your personal risk takes into account your age, lifestyle, genetics, and other factors. A great tool to help you assess your risk is www.cancer.gov/bcrisktool.

We strongly encourage all women to discuss their cancer risks with their primary care providers, and to schedule an annual screening mammogram.

Mammography Screening Age and Frequency Guidelines

Women’s Life Imaging Center and The Breast Health Center recommend that women have annual screening mammograms starting at age 40. These recommendations are supported by:

In addition the ACR sponsors an informative website:

Two other great resources are:


 

Bone Density and Osteoporosis Resources

For more information about bone density testing and bone-related health, contact:

Women's Life Imaging Center

200 Route 108, Suite 3
Somersworth, New Hampshire 03878

Get Directions

Hours:

Monday - Friday: 7 a.m. - 5 p.m.


Saturday: By appointment


Phone:

Office: (603) 742-6673

Fax: (603) 742-6757

Breast Health Center

Portsmouth Outpatient Center - Building A
67 Corporate Drive
Portsmouth, New Hampshire 03801

Get Directions

Hours:

Monday - Friday: 8:00 a..m - 5:00 p.m.


Phone:

Office: (603) 610-8080

Fax: (603) 868-8371

Schedule Your Mammogram Online

Current Wentworth-Douglass patients can schedule their annual mammogram through Mass General Brigham Patient Gateway.

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