Mammary ductography

After the age of 30, if you do not pay attention to exercise and maintenance, the fastest aging part of female friends is the breast, because there are many lymphatic systems distributed around the breast. If the lymphatic system is not unobstructed, it will cause blockage of the mammary duct. If this disease occurs, you should go to the hospital for an X-ray to see whether there are shadows in the breast ducts and whether the test is positive or negative. Before receiving targeted treatment, you must pay attention to your own health. Let me give you a detailed introduction below.

Abnormal results:

The test result was positive.

Intraductal papilloma: Angiography often shows a round shape inside the duct, smooth edges, filling defects, and the proximal duct is often dilated and widened.

Duct dilatation: manifested by the loss of normal dendritic morphology of the ducts at all levels, segmental widening or expansion into a cystic shape. In some cases, due to excessive secretions in the ducts, in addition to the widening of the ducts, continuous irregular areas of reduced density can be seen in the ducts, making the edges of the ducts appear less sharp.

Breast hyperplasia: A 10cm×10cm mass was palpated clinically, with ducts at all levels uniformly widened and extended, and slightly compressed around the mass, with several small cystic dilations seen at the end of the ducts. Fifteen cases with combined ductal dilatation also showed X-ray changes of ductal dilatation.

Breast abscess and mastitis: The contrast agent directly enters the abscess cavity, the shape is irregular, the duct behind the areola becomes thinner, the branches are reduced, and the duct edge is blurred.

Breast cancer: Duct angiography and X-ray angiography changes are not the same.

In invasive ductal carcinoma, a hard mass can be felt behind the areola; molybdenum target films show that the mass is irregular, of medium density and uneven, with piles of muddy calcifications in and around the mass; angiography shows that the duct is interrupted in front of the mass, the stump of the duct is irregularly destroyed and stiff, and the duct is not thickened.

Clinically, a hard, fixed mass was palpated with bloody discharge; molybdenum target films showed that the mass had uneven density and irregular edges, with thick and twisted drainage blood vessel shadows around it; angiography showed irregular destruction of the posterior wall of the main tube, with the wall being rigid, and the distal small ducts being thin and messy, distributed in a thread-like shape, and concentrated on one edge of the mass.

People who need to be examined: People who feel lumps in their breasts.