Ductography
A ductogram is a mammographic procedure that is performed to help identify an abnormality in the breast duct that may be the source of nipple discharge and is valuable in diagnosing intraductal papillomas and other conditions. Papillomas are wart-like, non-cancerous tumors with branchings or stalks that have grown inside the breast duct; they are the most common cause of nipple discharge.
Nipple discharge can be caused by non-cancerous tumors such as papillomas, or cancer such as ductal carcinoma in situ (DCIS). However, the majority of nipple discharges are due to benign (non-cancerous) causes. In particular, discharges that are yellow, green, blue, or black in color are usually categorized as less suspicious. For example, blue or black discharges are often associated with benign cysts. Discharges that are spontaneous, bloody, colorless, or clear in color are categorized as more suspicious, but further investigation usually results in a benign diagnosis. Bilateral nipple discharge (discharge occurring from both breasts) is usually benign and does not typically require investigation with ductography or other procedures. However, all persistent discharges should be reported to a physician for evaluation.
The procedure involves inserting a short blunt cannula into the ductal opening of the nipple producing the discharge, a contrast media is injected into this duct, and mammography images are taken to show the duct in question. The ductogram may or may not identify the cause of the nipple discharge. The majority of patients who undergo ductography ultimately need surgery to treat the discharge. Surgery may involve removing a papilloma or in some cases, removal of the entire ductal system may be required.
Breast Localizations
What is a needle/wire localization?
A needle/wire localization is a procedure used to help your surgeon find the area in your breast that needs to be removed. It is used when a mammogram, ultrasound or MRI has identified a small area of concern that cannot be felt. Before you go to surgery, the radiologist will place a small needle/wire next to the area of concern using local anesthetic and imaging (e.g., x-ray, ultrasound) to enable your surgeon to accurately remove the area of concern while removing the least amount of normal breast tissue.
Where is the procedure performed?
The localization is performed the morning of your breast surgery at Victory Breast Diagnostic & Women's Imaging. You will meet with the Radiologist and assistants who perform the procedure. They will answer your questions, obtain consent, and remain with you during the procedure.
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