Ductogram

What is a ductogram?

A ductogram is a diagnostic procedure whereby the milk ducts are visualised and evaluated. The procedure involves imaging the mammary ducts after introducing contrast media (dye) into the breast's ductal system via a duct opening in the nipple. A ductogram is recommended to evaluate any bloody discharge from the nipple.

Reasons to get a ductogram:

It is usually performed to determine if there is:

  • any abnormality in the duct

  • a growth inside the duct

  • any blockage of the duct

The examination will, however, not determine whether the lesion is malignant or benign.

Patient preparation:

  • For any interventional procedure, the patient must be fully informed and written consent is required.

  • No blood results are required for a ductogram; however, the patient may be asked to avoid taking any blood–thinning medication before the examination.

  • Iodine allergy?

What can I expect during the procedure?

This examination is performed by injecting a small amount of contrast media into a duct opening in the nipple. The radiologist will identify the discharging duct and insert a thin, flexible catheter into the duct opening.

Contrast material is then injected through the catheter into the ductal system. The catheter is secured to your skin, and a unilateral mammogram will be performed to evaluate the ductal system.

You may experience some discomfort or tenderness after the procedure. Pain relief medication may be recommended (Do not take Aspirin). Discomfort and tenderness may last a few days but should cause no long-term effects. Should the discomfort worsen, please contact your physician.

What about the result?

Once the examination is completed, the radiologist will compare all the images to previous studies.

A typed report of the findings will be completed and sent to your doctor. You will receive a copy of the images.