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Breast pain associated with mammographic compression.

B J Leaney1, M Martin

  • 1Box Hill Radiology Centre, Victoria, Australia.

Australasian Radiology
|May 1, 1992
PubMed
Summary

Most women tolerate firm breast compression during mammography well, reporting minimal pain. This suggests that patient discomfort should not be a barrier to undergoing this vital breast cancer screening procedure.

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Area of Science:

  • Radiology
  • Medical Imaging
  • Oncology

Background:

  • Mammography requires firm breast compression for optimal image quality and reduced radiation exposure.
  • Patient comfort during mammography is a concern that may affect screening adherence.

Purpose of the Study:

  • To assess patient-reported pain levels during mammography with firm breast compression.
  • To determine factors associated with breast pain during mammography.
  • To evaluate the impact of pain on patient willingness to undergo future mammograms.

Main Methods:

  • A questionnaire was administered to 374 women following their mammography procedure.
  • Participants reported pain severity (none, moderate, severe) and factors influencing it.
  • Data were analyzed to correlate pain with patient demographics and breast conditions.

Main Results:

  • 60% of women reported no pain, 31% moderate pain, and 1% severe pain.
  • Only one patient indicated pain would deter future mammograms.
  • Underlying breast disease was linked to increased pain, but age, hormones, menstruation, and caffeine were not significant factors.

Conclusions:

  • Firm breast compression is generally well-tolerated by patients during mammography.
  • Concerns about patient discomfort should not impede mammography referrals or the use of necessary compression.
  • Mammography is an acceptable procedure for most women, even with firm compression.

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