What is Diagnostic Mammography?
Diagnostic mammography is a specialized medical imaging technique used to diagnose breast cancer and other breast abnormalities. Unlike screening mammography, which is routinely done to detect breast cancer in asymptomatic women, diagnostic mammography is employed when there are specific signs or symptoms of breast disease, such as a lump, pain, nipple discharge, or changes in breast shape and size.
The presence of a palpable lump in the breast.
Unexplained pain in one or both breasts.
Nipple discharge, especially if it is bloody or occurs spontaneously.
Changes in the shape, size, or appearance of the breast.
Unusual findings from a previous screening mammogram.
How is Diagnostic Mammography Performed?
During a diagnostic mammogram, multiple X-ray images of the breast are taken from different angles to provide a detailed view of the breast tissue. The procedure is similar to a screening mammogram but may take longer because the radiologist may need to focus on specific areas of concern. The patient will be positioned and the breast will be compressed between two plates to ensure clear images. Compression is necessary to spread out the breast tissue and reduce the thickness, which helps to obtain more accurate images.
What is the Role of Diagnostic Mammography in Detecting Cancer?
Diagnostic mammography plays a crucial role in the early detection and diagnosis of breast cancer. It helps in identifying suspicious areas in the breast that may require further evaluation through additional imaging techniques like ultrasound or
MRI, or through a biopsy. Early detection of breast cancer through diagnostic mammography can lead to more effective treatment and better outcomes.
Early detection of breast cancer, which can improve treatment outcomes.
Detailed imaging that helps in the accurate diagnosis of breast abnormalities.
Guidance for further diagnostic procedures, such as biopsy or ultrasound.
Monitoring of known breast conditions over time.
Radiation exposure: Although the level of radiation used in mammography is low, repeated exposure can increase the risk of developing cancer over time.
False positives and false negatives: Diagnostic mammography may sometimes indicate the presence of cancer when there is none (false positive) or fail to detect cancer that is present (false negative).
Discomfort: The compression of the breast during the procedure can be uncomfortable or painful for some women.
Schedule the exam for a time when your breasts are least likely to be tender, such as one week after your menstrual period.
Avoid using deodorants, perfumes, lotions, or powders on the day of the exam, as these can interfere with the image quality.
Wear a two-piece outfit to make it easier to undress from the waist up.
Bring previous mammogram images and reports for comparison, if available.
What to Expect After a Diagnostic Mammogram?
After undergoing a diagnostic mammogram, the radiologist will analyze the images and provide a detailed report to your healthcare provider. Based on the findings, your doctor may recommend further testing, such as an ultrasound, MRI, or biopsy, to obtain more information about any suspicious areas. If the results are normal, you may be advised to return to routine screening mammography.
Conclusion
Diagnostic mammography is a vital tool in the early detection and diagnosis of breast cancer and other breast abnormalities. By providing detailed imaging of the breast, it helps healthcare providers make informed decisions about further testing and treatment. While there are some risks associated with the procedure, the benefits of early detection and accurate diagnosis far outweigh these risks. If you have any symptoms or concerns about your breast health, consult your healthcare provider to determine whether diagnostic mammography is right for you.
