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Related Experiment Videos

Breast cyst aspiration.

Jamee H Lucas1, D Lindsie Cone

  • 1Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia, South Carolina, USA. jamee.lucas@palmettohealth.org

American Family Physician
|December 6, 2003
PubMed
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Breast cyst aspiration is a simple, cost-effective procedure for palpable breast masses. If clear fluid resolves the mass, malignancy is unlikely, and routine follow-up is recommended.

Area of Science:

  • Family Medicine
  • Diagnostic Procedures
  • Oncology

Background:

  • Breast masses are common in family medicine practice.
  • Traditional biopsy methods require specialized training and support.
  • A minimally invasive alternative is needed for initial assessment.

Purpose of the Study:

  • To evaluate breast cyst aspiration as a primary diagnostic tool for palpable breast masses.
  • To establish criteria for proceeding with further investigation versus routine follow-up.

Main Methods:

  • Describing breast cyst aspiration technique using a 21- or 22-gauge needle.
  • Assessing outcomes based on aspirate characteristics (fluid clarity, resolution of mass).
  • Defining indications for referral for fine-needle or excisional biopsy.

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Main Results:

  • Breast cyst aspiration is simple, cost-effective, and minimally invasive.
  • Clear fluid aspiration leading to mass resolution suggests a benign cyst.
  • Bloody aspirate, tenacious fluid, or residual mass necessitates further biopsy.

Conclusions:

  • Breast cyst aspiration is a valuable initial procedure for dominant breast masses.
  • It can effectively differentiate likely benign cysts from masses requiring further investigation.
  • This technique reduces the need for immediate, more invasive procedures in many cases.