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Stacey Vitiello, MD
StaceyVitielloMD (Physician - Radiology (Verified) )| Communities: Breast Cancer | Answers: 35 |
| Member Since: Jan. 2012 |
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Professional Statement
Dr. Vitiello completed her Fellowship in Breast Imaging at Yale University Medical Center, where she received the Yale Department of Radiology Fellow of the Year Award in 2000. She served as Chief Resident during her residency in Diagnostic Radiology at Beth Israel Medical Center in Manhattan. Dr. Vitiello has lectured to a wide variety of audiences on topics related to the early detection of breast cancer, and has authored a chapter on Breast Ultrasound for a well-known text, Roses’ Breast Cancer. She is a member of many professional societies, including the Society of Breast Imaging and the American Society of Breast Diseases.
Her years of clinical experience have honed her expertise in breast MRI, mammography, breast ultrasound, and minimally-invasive needle biopsies, which she now brings to Montclair Breast Center. Experiences with her patients and their families have resulted in her passionate advocacy for high-quality, individualized screening for all women. She is currently building a website and blog, “What Smart Women Need to Know About Breast Cancer” to share crucial information with a wider audience, and to give women the tools they need to navigate an often confusing, contradictory and impersonal “healthcare system.”
Her years of clinical experience have honed her expertise in breast MRI, mammography, breast ultrasound, and minimally-invasive needle biopsies, which she now brings to Montclair Breast Center. Experiences with her patients and their families have resulted in her passionate advocacy for high-quality, individualized screening for all women. She is currently building a website and blog, “What Smart Women Need to Know About Breast Cancer” to share crucial information with a wider audience, and to give women the tools they need to navigate an often confusing, contradictory and impersonal “healthcare system.”
Professional Info
Credential: MD
Primary specialty: Radiology
Medical school: UMDNJ - Robert Wood Johnson Medical School
Residency: Beth Israel Medical Center
Fellowship: Yale University Medical Center
Areas of expertise: Breast imaging - mammograms, breast ultrasound, breast MRIs, nuclear medicine exams
Practice name: Montclair Breast Center
Practice address:
37 N. Fullerton Ave.
Montclair, NJ
07042
Practice phone number: (973) 509-1818
Webpage:
http://staceyvitiellomd.com
Twitter
https://twitter.com/staceyvitmd
Personal Bio (My story)
Dr. Vitiello grew up in Harrington Park, NJ and attended high school at Northern Valley Regional High School in Old Tappan. She then completed her undergraduate studies at Georgetown University, graduating with honors, and returned to New Jersey to attend medical school at UMDNJ- Robert Wood Johnson Medical School. Dr. Vitiello and her husband are raising their two daughters, ages 7 and 10, in the city of Hoboken.
StaceyVitielloMD Activities
If nodules or masses are seen on your mammogram, you will need to have additional mammographic images and a breast ultrasound. Many times, the masses turn out to be benign cysts, which do not need to be biopsied. If the nodules or masses are solid, they will need to be further evaluated with needle biopsies. About 80% will turn out to be benign (not cancer).
New answer by StaceyVitielloMD (Physician - Radiology (Verified))
1
Answer |
1 year ago
You will need to have additional mammogram images, including magnification views. Most of the time (70-80%), microcalcifications seen on a mammogram are NOT cancerous. However, most clustered microcalcifications require a biopsy, usually with a needle as a stereotactic biopsy, for definitive diagnosis.
New answer by StaceyVitielloMD (Physician - Radiology (Verified))
1
Answer |
1 year ago
• Clustered microcalcifications
• A mass
• Architectural distortion
• Focal asymmetric density
• Skin thickening
• Nipple retraction
• Trabecular thickening
• Enlarged axillary lymph nodes
• A mass
• Architectural distortion
• Focal asymmetric density
• Skin thickening
• Nipple retraction
• Trabecular thickening
• Enlarged axillary lymph nodes
New answer by StaceyVitielloMD (Physician - Radiology (Verified))
1
Answer |
1 year ago
At Montclair Breast Center, screening mammograms are read live by a radiologist while the patient waits. At most practices, the patient is called at home to schedule a recall visit. Additional mammogram images are obtained, as well as a breast ultrasound in some cases. The radiologist decides if there is something that either needs a biopsy, can be followed at a short-term interval (usually six months), or does not need anything in addition, and the patient can return the following year. Sometimes, an additional test (breast MRI or BSGI) is recommended for more information, if the work-up is inconclusive.
New answer by StaceyVitielloMD (Physician - Radiology (Verified))
1
Answer |
1 year ago
The patient is referred to a breast surgeon. At Montclair Breast Center, we recommend that the patient have a breast MRI to evaluate the full extent of disease, and to plan the surgery. If additional biopsies are needed, they are performed prior to planning the most appropriate surgery. Consultations with plastic reconstructive surgeons, medical oncologists, and radiation oncologists may also occur at this point.
New answer by StaceyVitielloMD (Physician - Radiology (Verified))
1
Answer |
1 year ago
This is a similar preparation to having a screening mammogram -http://talkabouthealth.com/what-can-a-patient-do-to-prepare-for-their-screening-mammogram.
Also be prepared to answer questions about your symptoms: how long you’ve had the symptom; if you noticed it, or your doctor or both; and see if you can point directly to it so it can be marked for the pictures.
Also be prepared to answer questions about your symptoms: how long you’ve had the symptom; if you noticed it, or your doctor or both; and see if you can point directly to it so it can be marked for the pictures.
New answer by StaceyVitielloMD (Physician - Radiology (Verified)) in topic(s) Preparing For Mammogram, Diagnostic Mammmogram Preparation, Patient Preparation, How To Prepare, Mammogram, Breast Imaging, Breast Cancer What To Expect, Cancer How To Prepare, Diagnostic Mammogram, What To Expect, Mammogram How To Prepare, Breast Cancer How To Prepare, Mammogram What To Expect, Breast Cancer, Breast Cancer Detection
1
Answer |
1 year ago
StaceyVitielloMD (Physician - Radiology (Verified)) asked the question in topic(s) Preparing For Mammogram, Diagnostic Mammmogram Preparation, Patient Preparation, How To Prepare, Mammogram, Breast Imaging, Breast Cancer What To Expect, Cancer How To Prepare, Diagnostic Mammogram, What To Expect, Mammogram How To Prepare, Breast Cancer How To Prepare, Mammogram What To Expect, Breast Cancer, Breast Cancer Detection
1
Answer |
1 year ago
When you schedule your mammogram, try to avoid any times in the month when you know your breasts are bound to be more tender. No need to suffer if you don’t have to. You might also consider taking a dose of Ibuprofen or Tylenol about an hour before your appointment time. On the morning of your mammogram, do not put on deodorant, creams or powder. These things can potentially cause artifacts on the films, and result in you being called back for more pictures. In terms of your outfit on the day of your mammogram, it’s better to choose two pieces (top with pants or a skirt) rather than a dress, since you’ll be asked to undress from the waist up. Finally, if you’ve had breast imaging studies in the past at a different facility, get copies of the films and reports to either bring with you on the day of your test, or have them sent in advance. Having prior films for comparison makes the reading more accurate, and you’ll be less likely to get called back for additional pictures.
New answer by StaceyVitielloMD (Physician - Radiology (Verified)) in topic(s) Preparing For Mammogram, Breast Cancer Screening, How To Prepare, Mammogram, Breast Imaging, Breast Cancer What To Expect, Cancer How To Prepare, What To Expect, Breast Cancer How To Prepare, Mammogram How To Prepare, Breat Cancer, Screening Mammogram Preparation, Mammogram What To Expect, Screening Mammogram, Cancer Screening
1
Answer |
1 year ago
StaceyVitielloMD (Physician - Radiology (Verified)) asked the question in topic(s) Preparing For Mammogram, Breast Cancer Screening, How To Prepare, Mammogram, Breast Imaging, Breast Cancer What To Expect, Cancer How To Prepare, What To Expect, Breast Cancer How To Prepare, Mammogram How To Prepare, Breat Cancer, Screening Mammogram Preparation, Mammogram What To Expect, Screening Mammogram, Cancer Screening
1
Answer |
1 year ago
If a woman has dense breasts, breast ultrasound screening should be performed annually in addition to a mammogram. If a woman is high risk, even without dense breasts, and cannot have a breast MRI or BSGI (breast specific gamma imaging) for some reason, then I would recommend she at least have a screening breast ultrasound as a second-level test in addition to a mammogram.
New answer by StaceyVitielloMD (Physician - Radiology (Verified)) in topic(s) Breast Ultrasound Function, Breast Cancer Screening, Breast Tumor Detection, Breast Cancer Imaging, Cancer Detection, Breast Ultrasound, Breast Imaging, Breast Cancer, Cancer Screening, Breast Cancer High Risk, High Risk Screening, High Risk Of Breast Cancer, Uses Of Breast Ultrasound, Breast Cancer Detection
1
Answer |
1 year ago
StaceyVitielloMD (Physician - Radiology (Verified)) asked the question in topic(s) Breast Ultrasound Function, Breast Cancer Screening, Breast Tumor Detection, Breast Cancer Imaging, Cancer Detection, Breast Ultrasound, Breast Imaging, Breast Cancer, Cancer Screening, Breast Cancer High Risk, High Risk Screening, High Risk Of Breast Cancer, Uses Of Breast Ultrasound, Breast Cancer Detection
1
Answer |
1 year ago
Most radiology practices have fee schedules for patients either without insurance, or whose insurance refuses to cover a certain test. Don’t be afraid to negotiate with the practice administrator to arrive at an arrangement that you can afford.
New answer by StaceyVitielloMD (Physician - Radiology (Verified))
1
Answer |
1 year ago
Appeal the decision through as many channels as you can. Ask your doctor to write a “Letter of Medical Necessity” for you, outlining the need for the test, and keep up the phone calls, letters and emails to those who make decisions at the insurance company. Often, if your doctor is able to make phone contact with the insurance company doctor, authorization is granted. It does take a lot of work and hassle, but it’s worth the effort.
New answer by StaceyVitielloMD (Physician - Radiology (Verified))
1
Answer |
1 year ago
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