The doctor said he wanted to perform a ductogram to get a better look at the duct. So after some VA finagling and more stalking I was able to get an appointment in 12 days (this has to be a VA record).
After much researching and googling I was ready for the ductogram.
I will start by saying can't blame the doctor but wow I wanted to hit him. After signing a release form (this should have been my first clue, that this wasn't a "simple" procedure). He proceeded to insert a tube into a REALLY small opening on my nipple while injecting contrast dye into the duct gland...I couldn't even see the hole but he found it with no problem. As he injected the dye slowly it started to BURN like nothing I had experienced before! This was nothing like what I read on the internet, and I know the internet never lies. After I finished clenching and squirming around like a big baby we went back to the futuristic-looking machine, that beckoned for me...
After a few pictures he came back and said the contrast dye did this...Periductal Contrast Extravasation...I had to google it. Oh I really need to stay off the internet...
I get to go back in two weeks and do it all over again. He says it won't hurt next time. I don't believe him.
I read this on Google: Extravasation is normally the result of forceful (He didn't force, he didn't even use all the dye) contrast material administration or wall perforation, as the result of overzealous cannula insertion. On occasion, the destruction of ductal integrity by a carcinoma (insert bad word here) can also lead to extravasation. When extravasation occurs as the result of an underlying ductal lesion, the patient does not experience pain during cannulation, or burning (IT BURNED) when contrast material is injected. Ductography should, in such cases, be rescheduled for 7-14 days after the initial extravasation (Oh Fun, fun), and the lesion should be considered suspicious in cases in which extravasation is repeatedly detected at the same foci, in the absence of traumatic cannulation.
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