Breast Cysts Michael A. Davis, MD

Breast Cysts

Michael A. Davis, MD

Clinical evaluation

A breast cyst is palpable as a smooth, mobile, well-defined mass. If the cyst is tense, the texture may be very firm, resembling a cancer. Aspiration will determine whether the lesion is solid or cystic. Breast cyst fluid may vary from straw-colored to dark green. Cytology is not routinely necessary. The cyst should be aspirated completely.

If a mass remains after drainage or if the fluid is bloody, excisional biopsy is indicated. If no palpable mass is felt after drainage, the patient should be reexamined in 3-4 weeks to determine whether the cyst recurs. Recurrent cysts can be re-aspirated. Repeated recurrence of the same cyst requires an open biopsy to exclude intracystic tumor.

Nonpalpable cysts. If the cyst wall is seen clearly seen on ultrasound and there is no interior debris or intracystic tumor, these simple cysts do not need to be aspirated. Any irregularity of the cyst wall or debris within the cyst requires a needle localized biopsy.

http://www.medical-library.org/journals/secure/surg/secure/Breast%20Cysts%20and%20Fibroadenomas.htm

اسم المستخدم: 1929
كلمة السر:1929

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