Monday, January 31, 2011

Ductogram (Galactogram)

Breast Ducts and Lobes in Cross Section ViewBreast ducts and lobes in cross-section ViewIllustration ? Pam Stephan Ductogram-Imaging Breast ducts: ductogram requires a contrast agent is injected in the chest, like during a breast MRI. A small tube (cannula) is used to put the fluid in the duct of the breast, ductal lavage as during. Contrast agent is injected allows the milk ducts to clearly show a mammogram. Ductography is a very specialised and is not available everywhere. A highly trained and experienced radiologist should make this procedure.You made your ductogram while you're having the nipple. This helps to find the specific product that is losing the radiologist. Only the tube that carries out the fluid will be tested during your study of imaging. The day of your ductogram, do not use talcum powder, deodorant or skin lotion. These can interfere with the results of imaging. Dress for comfort, as you will be asked to remove all your clothes from the waist up. Choose a top loose that is easy to remove and replace. If possible, avoid wearing a bra of underwire, because you will have a mammogram with compression as part of this review. Your breasts may be a bit sore after examination and a soft-Cup Bras will feel more comfortable than a wired bra. To get started with your Ductogram: In one room, will lie down on the table and find the breast that has the nipple. Will be cleaned and sterilized so that it is easier to find the led that is losing the nipple. Subsequently, your doctor will press on your chest, to find the area of triggers. The trigger area is the area that will constantly nipple when pressure is applied. If the ducts are surgically removed, this trigger will be useful for the surgeon. Test Your nipple discharge: a sample of your exhaust fluid will be taken and tested. Color and thickness will be annotated, and a strip of test can be used to test your blood. Bloody discharge is associated with ductal ectasia depigmented, intraductal, cystic disease and breast cancer.Insertion of the tube and contrast agent: once you've identified the nipple duct and sampling, your physician will use magnifying glasses to see the specific product. Inserts a tiny and flexible tube, called a cannula, gently right into this duct in your nipple. Light pressure will be used and should not produce any pain, but if it does, you should ask your doctor. The tube will be registered on the site and then connected to a small syringe filled with contractual agent. This will be injected slowly in your supply of milk. Your doctor will take care to avoid air bubbles in the tubing, as that would throw off the resulting image.You may be wondering what this will look – and if you've ever breastfed, there will be a feeling of familiarity. A complete duct contrast agent feel an erudite full of milk, before the baby was fed. On the other hand, if your nipple starts bad, or the pressure inside the duct is painful, there are several things that your doctor can do to help. Warm compresses or anesthetic gel can be applied to make it more comfortable. Your doctor does not want to cause pain, and if you are tense, can delay or prevent the review proceeding. Speak up if you feel pain!With the tube still in place, your doctor may use an ultrasound machine to see if fluid was injected sufficient contrast. When your conduct is quite complete, you can proceed in mammography imaging machine. Some doctors will remove the tube and put tape over the nipple, to maintain the contrast agent inside the duct, and some doctors will leave the tube in place. Your breasts will be positioned as a mammogram and bottom pressure usually will be applied when the image is taken. If air bubbles or the pipe is in terms of image, may be taken other corners.Get results from your Ductogram: the radiologist carefully images from your ductogram study and write a report on the results. Your physician or radiologist will contact you about the results, giving a diagnosis and follow-up recommendation. If you are having surgery to remove the learned or nearby tissue, it can be done a preoperative ductogram, with the addition of blue dye (similar to a sentinel node biopsy), to help your surgeon to see the led that must be removed.

sources: American Cancer Society. Overview: breast cancer. If you suspect that the breast cancer. Revision: 09/26/2007.

Radiographics. 2001; 21: 133-150. Ductography: how and what if? S. Horatio Slawson, MD and Bradley a. Johnson, MD.

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