Mammography in Bangkok

During mammography, you will either stand or sit in front of the mammography machine. Your breast is placed on a flat support plate. Then, a compressor will push the breast down to flatten it. Flattening your breast is done to spread out the tissue, which can provide clearer pictures and make it easier to find smaller abnormalities.

Once your breast is flattened, your doctor or technician will take an X-ray image. You may have to hold your breath to reduce the possibility of a blurred image while the X-ray image is taken. Your doctor may also ask you to change positions for each picture. You may feel a little discomfort or pressure, but it is usually brief.

When X-ray images are taken, a small burst of x-rays passes through your breast to a detector that is located on the opposite side. This detector is usually a photographic film plate that can capture the X-ray image on film. However, today, many breast imaging centers have moved from using film plates to digital mammography. Here are the newest advances in mammography:

• Digital mammography – digital mammography records the images on a computer instead of on film. A solid-state detector is used to transform the X-ray into a digital image that saves onto a computer. The computer can help your doctor see images that might not have been very visible on a regular mammogram because the image contrast is sharper. Digital mimeographs are also easier to store and share with other medical professionals.

• 3D Breast Imaging – this is called breast tomosynthesis. For this test, the breast is positioned and flattened just like a traditional mammogram. However, a tomosynthesis uses an X-ray tube that moves in an arc and takes pictures of your breast from many angles. Several studies have shown that this test, results in improved breast cancer detection rates, but it is not yet widely available.

Once the test is complete and all the necessary images have been taken, a radiologist will carefully examine the mammogram.

You can leave the hospital immediately after your mammography is complete. However, since it may take at least a week until the result is complete, it is advisable that you stay in Bangkok for at least 7 days. Once the result is ready, you need to attend a follow-up appointment to discuss the result with your doctor. In some cases, it may take several weeks until the results are ready. If this is the case, talk to your doctor/medical travel team about the exact length of stay, and the results can be mailed/sent to you.

You can resume your normal activities, including work, right after your mammogram. Some women experience minor bruising, but most women do not feel any lingering pain at all once the pain is over.

If you experience soreness, minor bruising, or discomfort, you should wear a padded sports bra as it can help you feel more comfortable then wearing a bra with underwire.

Although visible bruising on your breast or soreness a full day after your mammogram takes place is not cause for alarm, you should let your doctor know.

Mammograms are considered as one of the best breast cancer screening tests currently available. However, they have their limits as they are not 100% accurate in showing if a woman has breast cancer. There is always a possibility of:

• A false-positive – the mammogram looks abnormal even though there is actually no cancer cells present in the breast.

• A false-negative – the mammogram looks normal even though there is breast cancer.

Besides accuracy, the procedure itself is very safe. It should not cause alarming or long-term side effects as the amount of radiation used is minimal.

If you cannot or do not want to undergo mammography, you can consider the alternatives. These include ultrasound, MRI, and molecular breast imaging (MBI). However, mammograms are still considered as the best screening test for breast cancer since none of the alternatives has been proven to be as good.