Removing fluid confirms that the lump is a breast cyst and, in effect, collapses it, relieving associated discomfort. Your doctor uses a hair-thin needle to drain the fluid from the cyst. Treatment options for breast cysts include: Severe pain or large, painful cysts associated with fibrocystic breasts may warrant treatment. If you don't experience symptoms, or your symptoms are mild, no treatment is needed for fibrocystic breasts. You may need a diagnostic mammogram or ultrasound to evaluate the changes. It's important to report any new or persistent breast changes to your doctor, even if you've had a normal mammogram within the last year. If a suspicious area is detected during an imaging exam, your radiologist may recommend an ultrasound-guided breast biopsy or a sterotactic biopsy, which uses mammography to pinpoint the exact location for the biopsy. If a diagnostic mammogram and ultrasound are normal, but your doctor still has concerns about a breast lump, you may be referred to a breast surgeon to determine whether you need a surgical breast biopsy.Ī breast biopsy is a procedure to remove a small sample of breast tissue for microscopic analysis. A fine-needle aspiration may collapse the cyst and resolve discomfort.īreast biopsy. This helpful procedure can be done in the office. For a breast lump that feels a lot like a cyst, your doctor may try fine-needle aspiration to see if fluid can be withdrawn from the lump. Ultrasound can also help your doctor distinguish between fluid-filled cysts and solid masses. Ultrasound is better for evaluating a younger woman's dense breast tissue - tissue tightly packed with lobules, ducts and connective tissue (stroma). If you're younger than age 30, you might have an ultrasound instead of a mammogram. An ultrasound uses sound waves to produce images of your breasts and is often performed along with a mammogram. The radiologist closely examines the area of concern when interpreting the mammogram. If your doctor detects a breast lump or prominent thickening in your breast tissue, you need a diagnostic mammogram - an X-ray exam that focuses on a specific area of concern in your breast. If the changes persist or the breast exam is concerning, you may need additional tests, such as a diagnostic mammogram or ultrasound. But if your doctor finds a new lump or suspicious breast tissue, you may need to come back a few weeks later, after your period, for another clinical breast exam.
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