Ductogram
Ductography
is most commonly used to evaluate
either clear or bloody discharge
and is typically recommended by
the patient’s healthcare provider
or the radiologist. Creamy, white
or greenish discharge is usually
not an indication for this study.
How
to prepare for a ductogram
- There
are no diet restrictions, eat
and drink as usual
- Take
usual medications on exam day
- Wear
a two-piece outfit
What
to expect during the ductogram
The radiologist
will review the mammogram films
prior to the procedure and additional
mammogram films may be obtained.
The radiologist will squeeze the
nipple to identify the nipple
discharge and the duct from which
it originates. Squeezing or pressure
will be felt associated with identifying
the nipple discharge. A very small
tube is inserted into the duct.
Most women will experience brief
discomfort as the tube is placed
into the duct opening. In
some women, placement of the tube
is difficult and may be unsuccessful.
Once the tube is in place, most
women experience no further discomfort
with the procedure. Dye will be
injected into the duct through
the tube. Mammogram films
will be obtained with the tube
and dye present.
After
the procedure
At the
end of the procedure, the tube
will be removed. There may be
some nipple discharge following
the procedure. The dye is clear,
but sticky. The technologist will
provide gauze to place inside
the bra to protect the patient’s
clothing. The patient may return
to normal activity.
Results
and follow-up
The radiologist
will review and evaluate the ductogram
films. A report will be sent to
the patient’s healthcare provider,
who will contact the patient with
the results. Depending upon
the results, the patient may be
referred to a surgeon for additional
evaluation.
For questions
about the procedure or results,
contact the PIC nurse at (907)
261-3607.
Ductogram instructions
