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Introdução: A Tomossíntese Mamária (TM) surge como uma nova tecnologia de imagem da Mamografia Digital (MD), sendo reconhecida no diagnóstico de patologias mamárias. A compressão necessária ao exame está frequentemente associada à dor e ao desconforto, sendo uma das causas para a não adesão aos exames. Objetivo: Descrever, caracterizar e comparar a dor e o desconforto da mulher na TM com dois compressores diferentes, um convencional (C) e um flexível (F). Metodologia: Estudo descritivo transversal, constituído por 180 mulheres. As primeiras 90 mulheres realizaram o exame com o compressor C na mama direita e com o compressor F na mama esquerda, a restante amostra iniciou o estudo na mama direita com o compressor F e na mama contralateral com o C. A dor e o desconforto foram avaliados em todas as mulheres, através de um questionário pré- e pós-exame. Resultados: Na mama direita com o compressor C, 75% referiram, no máximo, dor moderada e 50% referiram, no máximo, desconforto ligeiro; com o compressor F, 75% referiram, no máximo, dor ligeira e desconforto ligeiro. Na mama esquerda, com os compressores C e F, 50% referiram, no máximo, dor ligeira e desconforto ligeiro. Verificou-se diferença dos valores médios (p=0,00<0,05) entre os compressores, para a dor, com o compressor C (1,47±0,91) e no F (1,13±0,89), no desconforto com o compressor C (1,47±0,94) e no F (1,07±0,93). Discussão: Observou-se uma relação significativa entre os compressores C e F e a dor e o desconforto na mama direita, não sendo verificada na mama contralateral, possível hipótese, devido à mama esquerda apresentar maior sensibilidade. Na avaliação dos valores médios, o compressor F traduziu valores menores comparativamente com o compressor C. Conclusão: O estudo permitiu observar que a utilização do compressor F no estudo de TM proporcionou redução da dor e do desconforto.
ABSTRACT Introduction: Breast Tomosynthesis (BT) arises as a new imaging technology in Digital Mammography (DM), being recognized in the diagnosis of breast pathologies. The compression required for the examination is often associated with pain and discomfort, which is one of the causes of non-adherence to examinations. Objective: To describe, characterize, and compare the pain and discomfort of women undergoing BT with two different paddles, one conventional (C) and one flexible (F). Methodology: Cross-sectional descriptive study, consisting of 180 women. The first 90 women underwent the exam on the right breast using the C paddle, and on the left breast with the F paddle; the remaining sample began the study on the right breast with the F paddle and on the contralateral breast with the C paddle. Pain and discomfort were assessed in all women through a pre- and post-examination questionnaire. Results: On the right breast with the C paddle, 75% stated at most moderate pain, and 50% stated, at most, mild discomfort with the F paddle; 75% stated at most mild pain and mild discomfort. In the left breast, with both the C and F paddle, 50% stated, at most, mild pain and mild discomfort. A statistically significant difference in average values (p=0,00˂0,05) was found between the paddles for pain, C (1.47±0.91) and F (1.13±0.89), and for discomfort, C (1.47±0.94) and F (1.07±0.93). Discussion: A significant relation was observed between the C and F paddles and the levels of pain and discomfort in the right breast, which was not observed in the contralateral breast, possibly due to the left breast being more sensitive. In the evaluation of the mean values, the F paddle resulted in lower values compared to the C paddle. Conclusion: The study allowed us to observe that the use of the F paddle in the TM study provided a reduction in pain and discomfort.
ABSTRACT Introduction: Breast Tomosynthesis (BT) arises as a new imaging technology in Digital Mammography (DM), being recognized in the diagnosis of breast pathologies. The compression required for the examination is often associated with pain and discomfort, which is one of the causes of non-adherence to examinations. Objective: To describe, characterize, and compare the pain and discomfort of women undergoing BT with two different paddles, one conventional (C) and one flexible (F). Methodology: Cross-sectional descriptive study, consisting of 180 women. The first 90 women underwent the exam on the right breast using the C paddle, and on the left breast with the F paddle; the remaining sample began the study on the right breast with the F paddle and on the contralateral breast with the C paddle. Pain and discomfort were assessed in all women through a pre- and post-examination questionnaire. Results: On the right breast with the C paddle, 75% stated at most moderate pain, and 50% stated, at most, mild discomfort with the F paddle; 75% stated at most mild pain and mild discomfort. In the left breast, with both the C and F paddle, 50% stated, at most, mild pain and mild discomfort. A statistically significant difference in average values (p=0,00˂0,05) was found between the paddles for pain, C (1.47±0.91) and F (1.13±0.89), and for discomfort, C (1.47±0.94) and F (1.07±0.93). Discussion: A significant relation was observed between the C and F paddles and the levels of pain and discomfort in the right breast, which was not observed in the contralateral breast, possibly due to the left breast being more sensitive. In the evaluation of the mean values, the F paddle resulted in lower values compared to the C paddle. Conclusion: The study allowed us to observe that the use of the F paddle in the TM study provided a reduction in pain and discomfort.
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Tomossíntese mamária Dor Desconforto Compressão mamária BI-RADS Compressor rígido Compressor flexível Breast tomosynthesis Pain Discomfort Breast compression Rigid paddle Flexible paddle MGATS