This is an automatically translated article.
The article is professionally consulted by Master, Doctor Nguyen Thanh Nam - Radiologist - Department of Diagnostic Imaging - Vinmec Danang International General Hospital.The ductography technique is usually performed after a mammogram when there are symptoms of discharge, blood in one breast.
1. Learn about the structure of the mammary gland
The main component of the breast is the glandular and stromal tissues, in which the glandular organization includes the milk glands and milk ducts, these glands have a strong development during pregnancy and lactation. Any change of breast organization has the potential to cause benign or malignant tumors. Women of childbearing age are at high risk of blockages, abscesses, and milk ducts. However, when entering menopause, due to a lack of ovarian hormone, it will cause some unusual symptoms such as pain in the breast area, heterogeneous breast density and especially atrophy and reduction in size. same density, elasticity of the breast.The earlier breast diseases are detected, the more effective the treatment and the better the prognosis.
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2. In what case is a ductal cystogram?
Milk duct endometrium usually presents with discharge, blood in one breast from several ducts. Usually, a ductal cystoscopy is performed after a mammogram when the doctor suspects an endocystic tumor, especially in a patient with discharge or blood in the nipple on one side.Contraindicated with ductal cystography in case of purulent discharge or acute mastitis.
3. Milk duct imaging procedure
Step 1: The technician prepares machinery, equipment, and consumables, the patient does not need to prepare anything and does not need to take medicine. Step 2: The patient lies on his back, with his head resting on his arm or sitting, the patient's breast rests on a horizontal table Step 3: The technician disinfects his hands with alcohol and wears sterile gloves Step 4: Disinfects nipples, looks for holes Translation is mainly, need strong focal lights and magnifying glasses. Step 5: Place the catheter needle, it is possible to insert the needle into the duct hole, but usually it is necessary to gradually widen the duct. The nipple is held firmly between the thumb and index finger and pulled up slightly. Use a sterile dilator to gently rotate it into the orifice of the duct. The catheter needle is connected to a syringe with contrast agent, expelling air, and inserting a few mm to 10 mm into the duct orifice. Step 6: Inject contrast drug, inject the drug slowly, without causing pain, monitor the patient's feeling, inject from two drops to 2ml. When the gland is filled with medicine, it will cause a feeling of tension, throbbing, and heat, then stop pumping. The needle is withdrawn from the duct and 1 drop of collodion is instilled to seal the ductal orifice. It is possible to leave the needle in the duct and take the film. Step 7: Take film, gently squeeze the mammary gland when taking, after injecting contrast agent.
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Khám sức khỏe giúp phát hiện sớm bệnh lý
Breast cancer screening package at Vinmec for the following subjects:
Female customers, over 40 years old. Customers wishing to be able to screen for breast cancer Customers are at high risk of cancer – especially customers with a family history of breast cancer. Women of reproductive age, perimenopause and menopause. Women are having symptoms of breast cancer, such as: breast pain, breast lump, etc. Master Doctor Nguyen Thanh Nam used to be a Lecturer in Diagnostic Imaging, Hue University of Medicine and Pharmacy with a degree. Good English, Russian and over 10 years of experience in the field of Diagnostic Imaging.
To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register online HERE.
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