Name of the Procedure:

Mammography; Unilateral (Common name: One-sided Mammogram, Technical term: Unilateral Mammographic Imaging)

Summary

A unilateral mammography is an X-ray examination of one breast. It is used to detect abnormalities such as lumps or changes in breast tissue that could indicate conditions like breast cancer. The procedure involves compressing the breast to obtain clear images.

Purpose

The primary aim of a unilateral mammography is to diagnose breast conditions in one breast. It helps in early detection and treatment of breast cancer and other breast-related issues. The expected outcome is to identify or rule out the presence of abnormal tissue or lumps in the breast.

Indications

• Presence of a lump in one breast.
• Unilateral breast pain or tenderness.
• Nipple discharge from one breast.
• Follow-up on previously detected abnormalities in one breast.
• Post-operative evaluation in one breast after procedures like lumpectomy.

Preparation

• Avoid using deodorants, lotions, or powders on the underarm and breast area on the day of the procedure.
• Wear a two-piece outfit for convenience, as you will need to remove your top.
• Inform the radiologist if there is a chance you might be pregnant.
• Bring previous mammography images if available for comparison.

Procedure Description

1. The patient undresses above the waist and is given a gown to wear.
2. The patient stands in front of the mammography machine.
3. The radiologic technologist positions the breast on the imaging plate and gently compresses it with a paddle.
4. X-ray images are taken from different angles.
5. The patient may need to hold their breath for a few seconds during each image capture to avoid movement.
6. The procedure is repeated for any additional necessary views.

Tools Used:

• Mammography machine.
• Compression paddles.
• X-ray detector.

There is no need for anesthesia or sedation as the procedure is non-invasive and relatively short.

Duration

The procedure typically takes about 15-30 minutes.

Setting

Unilateral mammography is performed in an outpatient imaging center or a hospital radiology department.

Personnel

• Radiologic Technologist (conducts the imaging).
• Radiologist (interprets the images).

Risks and Complications

• Discomfort or pain due to breast compression.
• Exposure to low levels of radiation.
• Risk of false-positive or false-negative results.
• Mild skin irritation or redness.

Benefits

• Early detection of breast cancer, which significantly improves treatment outcomes.
• Accurate diagnosis of breast lumps or abnormalities.
• Non-invasive and quick procedure with minimal discomfort.

Recovery

• No recovery time needed; patients can resume normal activities immediately.
• Patients may experience minor discomfort or redness, but this usually subsides quickly.
• Follow-up appointments may be required if abnormalities are detected.

Alternatives

• Whole-Breast Ultrasound: Useful for further evaluation, especially in dense breast tissue.
• Breast MRI: Provides highly detailed images, but is more expensive and time-consuming.
• Biopsy: If an abnormality is detected, a biopsy may be necessary to confirm whether it is cancerous.

Patient Experience

During the procedure, you might feel pressure and slight discomfort due to the compression of the breast. After the procedure, some may experience minor tenderness or redness, but this typically resolves quickly. The process is designed to be as quick and comfortable as possible, with measures taken to ensure patient comfort and safety.