Regarding cystic disease of breast which one is true:: (A) Common in 25 years of age, (B) Excision is the treatment, (C) may turn into malignant, (D) Aspiration is the treatment
Answer is D. Ans. is 'd' ie Aspiration is the t/t Cysts are considered foremost among all of the benign histological changes in the breast. They occur most commonly in the last decade of reproductive life due to a nonintegrated involution of stroma and epithelium. Remember, cysts are one of the many features seen in ANDI (Aberration of normal development and involution).Cysts are often multiple, may be b/1 and can mimic malignancy. But no relationship b/w cysts and breast cancer has been found.They typically present suddenly and cause great alarm: prompt diagnosis & drainage provides immediate relief.Treatment:A solitary cyst or small collection of cysts can be aspirated If they resolve completely and if the fluid is not blood stained no further t/t is required.However some will recur and require respiration. If there is residual lump or if the fluid is bloodstained, a local excision for histological diagnosis is done.Excision is also done if the cyst recurs repeatedly.Thus both (B) & (D) option are true but since aspiration is the primary t/t and successful in most cases it is better answer.