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Medical Disability Advisor  >  Mammography

Mammography


Related Terms


  • Mammogram

Specialists


  • Radiologist

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Factors Influencing Duration


Disability is not associated with mammography.

Medical Codes


ICD-9-CM:
87.36 - Mammogram; Xerography of Breast
87.37 - Mammogram, Other

Definition


Mammography is an x-ray technique used to visualize the interior tissue of the breast. It is a procedure used to screen for, diagnose, and monitor breast disease.

Mammography most often is used to screen for breast cancer, because it allows tumors to be visualized while they are still too small to be felt by physical examination. Although there is some disagreement about the value of mammograms in younger women, the American Cancer Society makes the following recommendations: A baseline mammogram should be obtained for all women between the ages of 35 to 40 so that it may be compared to those obtained later. Women aged 40 to 49 should have a screening mammogram every 1 to 2 years. Women over age 50 should have a screening mammogram every year. However, women who are at a higher risk of developing breast cancer because of medical or family history may need to begin mammogram screening at an earlier age or have more frequent screenings.

Source: Medical Disability Advisor



Reason for Procedure


Mammography is most frequently is used as a routine screening device for detecting breast cancer at an early stage. It may be used to screen men with Klinefelter's syndrome who are at a high-risk of developing breast cancer. Mammography is also used to diagnose or monitor other breast disease. Images produced by mammography provide visual comparisons and/or differentiations between scar tissue, cysts, abscesses, and tumors, and help determine the degree of spread of an existing tumor (cancer staging).

Although a mammogram can identify an abnormality in breast tissue, further testing is required to determine whether or not the abnormality is cancerous (malignant). Diagnostic ultrasound may be used as an additional tool, but a sample (biopsy) of the suspected tissue needs to be analyzed to confirm the diagnosis.

Source: Medical Disability Advisor



How Procedure is Performed


Mammography is performed on an outpatient basis without anesthesia. It causes only brief, mild discomfort. The individual stands or sits at the mammography unit, and the bare breast is placed on a platform (detector plate). A plate (compression paddle) is lowered to flatten the breast slightly to allow optimal visualization. The x-rays pass down through the breast and the resulting image is recorded either on x-ray film (film mammography) or a computer (digital mammography). Images may be taken from more than one angle by adjusting the breast and the angle of the mammography unit. Two images (craniocaudal and oblique) are usually taken from each breast during a screening or diagnostic mammogram. Should an abnormality be detected, additional images may be taken. Individuals who are experiencing nipple discharge may have a ductogram performed to highlight the milk duct and assist in the visualization of a mass. For this procedure, a fine plastic tube is inserted into a milk duct at the nipple and a small amount of an x-ray contrast medium is injected. The mammogram is then performed as usual. Mammograms are evaluated by a radiologist.

Source: Medical Disability Advisor



Prognosis


Mammography is a simple procedure that has no immediate adverse effects on the individual, although the radiation exposure has the potential to cause delayed effects such as increasing the probability of cancer development. Women in their 40s who undergo mammography every 2 years are more likely to discover breast cancer at an earlier stage, and are 44% less likely to be diagnosed with late-stage breast cancer. Mammography successfully detects about 61% of breast tumors in asymptomatic, unscreened women ("Regular Mammograms"). About 5% to 10% of mammograms taken in the US show abnormalities that require follow-up imaging or biopsy; however, the rate of false-positive results is high: 30% for a woman in her 40s, and 25% for women over 50 ("Mammography").

Source: Medical Disability Advisor



Complications


No radiation complications are expected. Mammograms are done using relatively low levels of radiation. Some individuals become anxious at the idea of a mammogram or find exposing their breasts stressful.

Source: Medical Disability Advisor



Return to Work (Restrictions / Accommodations)


There are no work restrictions or accommodations associated with mammography.

Source: Medical Disability Advisor



Cited References


"Mammography." RadiologyInfo. 30 Apr. 2004. Radiological Society of North America, Inc. (RSNA). 27 Dec. 2004 <http://www.radiologyinfo.org/content/mammogram.htm#Preparation>.

"Regular Mammograms in a Woman's 40s Catch Breast Cancer at a Much Earlier Stage." Johns Hopkins Medicine. 15 Jan. 2003. 27 Dec. 2004 <http://www.hopkinsmedicine.org/breastcenter/artemis/200302/feature5.html>.

Source: Medical Disability Advisor






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