Getting called back after an abnormal screening mammogram can be stressful. But most of the time, it doesn’t mean you have cancer.

Your healthcare provider may recommend a spot compression mammogram to get a closer look at an area of your breast. This is a special type of breast cancer screening that creates more detailed and targeted images.

Read on to learn what a spot compression mammogram is and why you may need one. We’ll also cover what this imaging test is like and what to expect afterward.

What Is a Spot Compression Mammogram?

A spot compression mammogram is a type of diagnostic mammogram. It’s a step beyond a routine screening mammogram. Both tests use low-dose X-rays.

A screening mammogram takes four standard images of the whole breast. A spot compression mammogram can be focused on one specific area at a time in order to get a better view of suspicious areas.

During the test, a smaller compression paddle presses down on a targeted section of breast tissue. This spreads the tissue apart so the radiologist can see the area more clearly in the resulting images.

Spot compression mammograms reduce the appearance of overlapping tissue, which can be mistaken for tumors on a screening mammogram.

What Happens During Your Appointment?

A spot compression mammogram is very similar to a screening mammogram. The main difference is that it’s more focused and may take longer. Here’s what to expect.

Before the Appointment

You’ll prepare the same way you would for any type of mammogram. This includes:

• Not wearing deodorant, lotions, or powders under your arms or on your chest
• Wearing a top and bra that’s easy to take on and off
• Leaving any jewelry at home (or making sure it is easy to remove)
• Scheduling your exam when your breasts are less tender (typically a week after your period)

You should also tell the technologist if:

• You’re pregnant or may be pregnant
• You have breast implants
• You’ve had breast surgery

During the Mammogram

The technologist will position one breast on the mammogram machine. Then a small paddle or compression plate pushes down on the target area.

The compression may feel uncomfortable or painful. It usually lasts only a few seconds at a time. Compression makes the images more accurate, so you’ll get the most out of your test.

You may find it helpful to take deep breaths while the compression is happening. Counting in your head can also help you to avoid focusing on how it feels. If you’re worried about the pain, ask your healthcare provider about taking over-the-counter pain medicine for your appointment.

The technologist may take several images from different angles. They may also include other tests, such as an ultrasound, during your visit. This can make the appointment take longer than a screening mammogram.

You may also have to wait at the facility while the radiologist reads the results. If they need extra images, they’ll want to get them before you leave, so you won’t have to come back again.

What Do Your Mammogram Results Mean?

Your results may be available the same day or shortly afterward. Here’s what the findings may show.

The Area Looks Normal

Sometimes the suspicious finding from your first mammogram disappears when the tissue is compressed and spread apart. This usually means the original image was of overlapping normal tissue.

In this situation, no further testing may be needed. You’ll be advised to go back to a routine screening schedule for your age and risk level.

The Finding Looks Benign

The images may show a harmless (benign) condition, like a cyst. This can help explain why you had a lump or pain. Depending on the issue, they may recommend treatment to help resolve your symptoms.

In this case, you’ll either be told to continue with a regular screening schedule or to have a follow-up mammogram in six months.

More Testing Is Needed

Spot compression mammograms can’t always provide a clear answer. If the area still looks suspicious, you may need additional imaging or tests, like an ultrasound, an MRI, or a biopsy.

Breast Ultrasound

Ultrasound tests use sound waves instead of radiation. They can help determine whether a lump is solid or fluid-filled. A breast ultrasound is especially useful for cysts and dense breast tissue.

Breast MRI

A breast MRI creates highly detailed images using magnets and radio waves. It’s a good way to get extra details in some cases. The test may require an injection of contrast dye (called gadolinium), which will help the radiologist see structures in your breast more clearly.

Breast Biopsy

Finally, if imaging shows an area of concern that remains unclear or suspicious, you may need a biopsy. During a biopsy, a small tissue sample is removed from your breast with a needle and examined under a microscope. A biopsy is the only way to confirm a breast cancer diagnosis.

How To Stay Calm While Waiting for Answers

Waiting for test results can be one of the hardest parts of the process. It’s normal to feel worried, especially after being called back for more imaging.

Remember that additional testing is very common. Spot compression mammography is designed to provide more accurate information. It’s not a reason to fear the worst. More often than not, the results show benign changes that aren’t cancer.

Knowing Earlier Is Better

Attending your screenings and follow-up appointments is an important step in taking care of your health. Finding answers early helps doctors evaluate and treat breast changes if needed. It can also help ease anxiety.

Even if there is cancer, early detection gives you the best chance of successful cancer treatment.

Try to stay hopeful and focus on the fact that spot compression mammography is a tool that’s meant to benefit your long-term breast health.

Don’t Be Afraid To Reach Out for Support

You may find comfort in talking with supportive friends, family members, or others who have gone through breast imaging themselves, such as members of breast cancer and women’s health communities. Hearing from others who understand the experience can make the process feel less scary and lonely.

Join the Conversation

On MyBCTeam, people share their experiences with breast cancer, get advice, and find support from others who understand.

Have you had a callback that led to a spot compression mammogram or other testing? Let others know in the comments below.