Mammogram Clinic

Women’s Care Breast Center

  • Breast Center

    “Kansas The University Health Breast Center is your home for breast care. Whether you have a breast mass, nipple discharge, breast pain, a family history of breast cancer, are worried you might have breast cancer, or have been recently diagnosed with breast cancer, we offer comprehensive patient-centered care by a dedicated multidisciplinary team of breast specialists from diagnosis to survivorship — with all your needs in mind.

    For your convenience, we streamline services by making many of the components of a breast evaluation available in one easy and comfortable location.

    You will have access to a dedicated breast nurse navigator who will guide you through your journey every step of the way. The Breast Center is staffed by a diverse and highly qualified dedicated breast team, including a fellowship-trained breast surgeon and dedicated breast surgeon, plastic and reconstructive surgeon, gynecologist, and fellowship trained breast radiologist. 3D mammography, traditional mammography, and breast US are only steps away. If you need additional treatments such as chemotherapy or radiation, we will work to arrange for the best fit from among our breast care team. Every patient who might be at risk will also receive comprehensive lymphedema education and preoperative assessment by our certified lymphedema specialist, referral to our high risk prevention clinic, or genetic counselling as necessary. Often breast masses that end up being benign can still cause much anxiety. Our dedicated breast team is happy to help you through all your treatment decisions.

    For compassionate and high-quality care for any breast health need, please schedule an appointment at the UH Breast Center by calling 816-404-7830.

    Physician Form

  • Digital Breast Imaging

    “Kansas Just steps away from the University Health Breast Center is the University Health Medical Imaging Department, an all-digital mammogram facility. Breast imaging studies are done by specially trained Radiologic Technologists.

    To schedule mammograms, please call: 816-404-0690.

    Types of Breast Imaging:
    Screening mammogram. Annual study for women over the age of 40 with no signs or symptoms of breast problems and no prior personal diagnosis of breast cancer. With a screening mammogram, at least two views (pictures) are taken of each breast. Results are usually available within a couple of days and a letter is sent informing the patient of the test results.

    3D mammogram. Three-dimensional digital breast tomography, or 3D mammography, is the most effective technology available for early detection of breast cancer. Fifteen images are taken with 3D versus four in 2D. The technology, approved by the U.S. Food and Drug Administration in 2014, is still new and therefore not all insurance companies are paying for it.

    Diagnostic mammogram. Study to diagnose patients with specific symptoms. This type of mammogram is indicated for patients with new breast lumps, nipple discharge, implants, a history of breast cancer, or a possible finding seen on a recent screening mammogram. Diagnostic mammograms will include additional views of each breast and may include magnification views of areas of concern. Results are usually available at the time the study is done and a letter is subsequently sent informing the patient of the test results.

    Ultrasound. Study used to determine if breast lumps are fluid filled or solid. Ultrasounds are also used to further

    Physician Form

  • Digital Screening Breast MRI

    “Kansas Your doctor may refer you for a digital screening breast MRI (Magnetic Resonance Imaging) in addition to a digital screening mammogram if one or more of these indications are present:

    • • You have a personal history of breast cancer.

    • • You are considered at high risk for developing breast cancer, as determined by a breast specialist.

    • • A breast radiologist recommends you undergo multi-dimensional imaging.

    • • You have undergone hereditary testing and it is determined you are positive for a mutation of one of the two known breast cancer susceptibility (BRCA) genes called BRCA1 and BRCA2.

    • • You have a first-degree relative who is a BRCA gene carrier, but you have not undergone hereditary risk testing. University Health has a Genetic Testing Program where appropriate patients with certain indications can receive this testing.

    • • You have a strong family history of breast cancer and have undergone other testing that determined you have a lifetime risk of 20 to 25 percent or greater of developing breast cancer.

    • • You received radiation treatments to the chest between the ages of 10 and 30.

    • • You or a first-degree relative have Li-Fraumeni Syndrome, a rare autoimmune disorder that greatly increases your risk of developing certain types of cancer including breast, osteosarcoma bone cancer and cancers of the soft tissue.

    • • You or a first-degree relative have Cowden syndrome, a rare disorder that can greatly increase your risk for developing certain types of cancers including breast, thyroid and endometrial. This syndrome is also characterized by multiple non-cancerous, tumor-like growths found on the skin and the lining of the mouth and nose, intestinal tract and other parts of the body. These growths usually appear in the late 20s.

    • • You or a first-degree relative have Bannayan-Riley-Ruvalcaba syndrome, a rare, inherited disorder that results in excessive growth before and after birth. Among the symptoms are an abnormally large head that may be long and narrow and benign tumor-like growths that most often occur below the skin.

    To schedule an appointment, please call 816-404-7830.

    Physician Form

  • Breast Biopsy

    “Kansas Following mammogram and ultrasound, the Radiologist may suggest a biopsy. These biopsy procedures are scheduled by the Radiology Scheduling staff who work closely with the Radiologists. The Technologists in Medical Imaging will review all pre-procedure instructions for patients. All biopsy samples are sent to the lab for review. Results are usually available within a week. There are two types of biopsies done in the Medical Imaging department. Most biopsies are performed in the Medical Imaging Department at TMC Hospital Hill, up the street from University Health.

    Core biopsy under ultrasound guidance. Recommended for patients with breast lumps identified on ultrasound. The Technologist and Radiologist identify the abnormal area, inject numbing medication, and insert a needle to take several samples of the abnormal area.

    Core biopsy under stereotactic guidance. Recommended when there are clusters of microcalcifications (may indicate early breast problem) or other abnormal areas identified on mammogram. Patients are positioned in the mammography machine for this procedure to identify the precise area of abnormality. Numbing medicine is injected

    To schedule an appointment, please call 816-404-7830.

    Physician Form

  • Digital Diagnostic Breast MRI

    “Kansas Your doctor may refer you for a diagnostic breast MRI after, or in addition to, a core needle biopsy for one or more of these factors:

    • To evaluate the extent of a known cancer.

    • To evaluate the breast on the opposite side of the known cancer.

    • If there is a known or suspected cancer and you have breast implants.

    • To investigate a possible cancer if you have a lumpectomy scar or cancer recurrence.

    • If you have undergone past chemotherapy.

    • To better view abnormal appearing lymph nodes (part of the lymphatic system found throughout the body) and help evaluate if they are suspicious for cancer, even after a negative mammogram.

    • If post-operative pathology tests show a certain number of cells remain in the tissue after surgery. A breast MRI is performed to determine if any abnormal or suspicious tissue remains.

    • If there is a possible breast implant rupture.

    • To evaluate the effectiveness of breast cancer treatments.

    Breast MRIs for University Health patients are performed at Truman Medical Center Hospital Hill Medical Imaging Department and at Medical Imaging Eastland in Independence, MO.

    To schedule an appointment, please call 816-404-7830.

    Physician Form

Meet Our Staff

Nasim Ahmadiyeh

Nasim Ahmadiyeh, M.D., Ph.D.

Medical Director

Dr. Ahmadiyeh is a fellowship-trained breast surgical oncologist and board-certified general surgeon. She completed her medical and doctorate degrees at Northwestern University; completed her general surgery residency at Brigham and Women’s Hospital, the primary teaching hospital of Harvard Medical School. She pursued her breast surgical oncology training at University of California, San Francisco (UCSF), and research fellowships at both the Dana Farber Cancer Institute and UCSF, which have resulted in numerous publications in top-tier journals. Before joining University Health, she has worked at Menorah Medical Center in Overland Park, KS as a breast surgical oncologist, where her practice garnered the top patient satisfaction scores of all the subspecialty practices across four states.

Marcia Beck, ACNS-BC; CLT-LANA

Marcia S. Beck ACNS-BC; CLT-LANA is an Advanced Practice Nurse, Clinical Nurse Specialist, certified in Adult Health through the American Nurses Credentialing Center, and a Certified Lymphedema Therapist through Lymphology Association of North America. She is also certified as a Breast Health Navigator, and a Certified Lebed Method ‘HealthySteps’ Leader. Marcia received her Bachelor of Science in Nursing from Truman State University, Kirksville, MO and a Master of Science in Nursing from University of Missouri Columbia.

Howard Kremer, MD, FACS

Howard Kremer, MD, FACS a general surgeon, is board-certified by the American Board of Surgery and is a Fellow of the American College of Surgeons. He received his medical degree from the University of Missouri – Kansas City School of Medicine, where he also completed a surgical residency. After completing residency, he joined the faculty at TMC, where he worked for almost a decade. He then entered private practice, working in Colorado Springs, CO for several years, and then returned to the Kansas City area, working in Independence, MO. He rejoined the Truman / UMKC faculty in September of 2005. Dr. Kremer is on the faculty of the UMKC School of Medicine Department of Surgery. He is an Assistant Professor of Surgery and serves as the Surgery Clerkship Director for the UMKC Medical Students at Truman. Besides the treatment of breast disease and breast cancers, his surgical interests also include the treatment of biliary tract disease, hernias, thyroid and parathyroid disease and trauma.
Tiffany Lewis, DO

Tiffany Lewis, DO

Tiffany Lewis, DO, is a board-certified radiologist specializing in mammography. Dr. Lewis received her bachelor’s degree from Washington University in St. Louis and her Doctor of Osteopathic Medicine from Kansas City University of Medicine and Biosciences. She also has a Master’s of Business Administration in Healthcare Leadership from Rockhurst University.

In addition, Dr. Lewis completed a Women’s Imaging Fellowship from The Mayo Clinic in Scottsdale, Arizona, which focused on multi-modality breast imaging and procedures, pelvic MRI/US and OB imaging.

The breast cancer imaging component holds special significance for Dr. Lewis, since her mother was diagnosed with breast cancer years ago.

“That was a big push for me,” she said. “I specifically wanted to go into breast cancer imaging, not only because it’s something I’m passionate about, but because it’s something I could help make advances with, to help other people and maybe save my life or the life of one of my sisters.”

Susan Mou, MD, FACOG

Susan M. Mou, MD, is board-certified by the American Board of Obstetrics and Gynecology and is a Fellow (FACOG) of the American Congress of Obstetricians and Gynecologists. Dr. Mou received her medical degree and her residency training at the University of Rochester Medical Center in Rochester, New York. She returned to academic medicine in 2011 and is an Associate Professor of Obstetrics and Gynecology for the UMKC School of Medicine. She is the Director of the Breast Clinic and serves as the OB Simulation Director for the Department of Obstetrics and Gynecology at Truman Medical Center. Dr. Mou has a special interest in general Obstetrics and Gynecology, Pediatric and Adolescent Gynecology, Perimenopausal issues, vaginitis, and infectious disease in Obstetrics and Gynecology. Dr. Mou has continued to maintain a private practice throughout her 20 years in academic medicine.

Glenn Talboy, Jr., MD

Glenn Talboy, MD, is professor and chairman of the Department of Surgery at the University of Missouri – Kansas City School of Medicine. He is board-certified by the American Board of General Surgery. He received his medical degree from Creighton University Medical School and completed a residency in General Surgery at Truman Medical Centers. Due to his outstanding career in the field of surgery, Dr. Talboy has gained professional recognition as a multi-year recipient of the Teacher of the Year-UMKC Residency and the Pearson Teaching Award. Dr. Talboy has been selected to join the Physician Board at the American Health Council, where he shares his knowledge and expertise on General Surgery and Medicine.

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Please call 816-404-2222 for more information or to make an appointment.


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