Breast Imaging: A Core Review by Shah Biren A. & Mandava Sabala

Author:Shah, Biren A. & Mandava, Sabala
Language: eng
Format: epub
Publisher: Lippincott Williams & Wilkins
Published: 2013-11-13T16:00:00+00:00

The clinical indications for galactography are single-duct spontaneous bloody, serous, or clear nipple discharge. Procedural steps for galactography are:

Obtain informed written consent.

Breast placed on magnification stand (or patient placed in supine position) with gooseneck light positioned to illuminate the nipple.

Nipple is cleansed.

Duct opening is identified by squeezing nipple to express a small drop of nipple discharge.

The cannula is connected to the tubing and syringe containing 1 to 3 mL of Optiray contrast.

A blunt (27- or 30-gauge), straight or right-angle cannula, connected to tubing and a contrast-filled syringe, is inserted into the duct opening.

The cannula is taped in place to the patient’s breast.

Contrast is injected slowly into the duct until the patient feels fullness in her breast or there is reflux of contrast from the duct.

• Special attention is made not to inject air into the duct, as it can mimic a filling defect on mammogram.

• If resistance occurs while injecting, it may be the result of the cannula being placed against the wall of the duct or extravasation of contrast outside of the duct. Stop injection, and reposition cannula.

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