What is Breast Ductography / Galactography?

• Breast Ductography / Galactography is an imaging technique which is used to evaluate lesions causing nipple discharge. It helps in precisely locating the mass within breast tissue and gives useful information for surgical approach and planning.
• A blunt-tipped sialogram needle (30-gauge) is used for performing the ductogram. The abnormal duct is identified and cannulated. Approximately 1-2 ML of contrast is injected. A standard two-view mammography (or craniocaudal and mediolateral projections) is obtained.

Why do I need Breast Ductography / Galactography?

• The primary indication is to evaluate a single duct which has a discharge.

Any preparation needed?

• The nipple should not be squeezed prior to the exam.
• Inform your doctor of any prior surgeries, hormone use, and family or personal history of breast cancer.
• Do not schedule your mammogram for the week before your menstrual period if your breasts are usually tender during this time. The best time for a mammogram is one week following your period.
• Don’t wear deodorant, talcum powder or lotion under your arms or on your breasts on the day of the exam.
• Inform your doctor or x-ray technologist if there is any possibility that you are pregnant.
• Describe any breast symptoms or problems to the technologist performing the exam.
• Obtain your prior mammograms and make them available to the radiologist if they were done at a different location. This is needed for comparison with your current exam and can often be obtained on a CD.
• Wear loose clothing to your ultrasound appointment. You may be asked to remove jewelry during your ultrasound, so its a good idea to leave any valuables at home.