Diagnosis is mostly done based on symptoms after exclusion of<unk>  cancer. Nipple fluid aspiration can be used to classify cyst type (and to some extent improve<unk>  cancer risk prediction) but it is rarely used in practice. Biopsy or fine needle aspiration are rarely warranted.<unk><unk>  disease is primarily diagnosed based on the symptoms, clinical<unk>  exam and on a physical exam. During this examination, the doctor checks for unusual areas in the<unk> s, both visually and manually. Also, the lymph nodes in the axilla area and lower neck are examined. A complete and accurate medical history is also helpful in diagnosing this condition. If the patient's medical history and physical exam findings are consistent with normal<unk><unk> , no additional tests are considered but otherwise the patient will be asked to return a few weeks later for reassessment. Women may detect lumps in their<unk> s during self-examination as well. Imaging In order to establish whether the lump is a cyst or not, several imaging tests may be performed. Mammography is usually the first imaging test to be ordered when unusual<unk><unk>  have been detected during a physical examination. A diagnostic mammography consists in a series of X-rays that provide clear images of specific areas of the<unk> . Ultrasounds and MRIs are commonly performed in conjunction with mammographies as they produce clear images of the<unk>  and clearly distinguish between fluid-filled<unk>  cysts and solid masses. The ultrasound and MRI exams can better evaluate dense tissue of the<unk> ; hence it is often undergone by young patients, under 30 years old. Biopsy The<unk>  biopsy is usually the test used to confirm the suspected diagnosing. After imaging tests have been performed and have revealed unusual areas or lumps in the<unk> , a<unk>  biopsy will be ordered. This test consists in removing a sample of<unk>  tissue which is then looked at under a microscope. The specialist analyzing the tissue sample will be able to conclude if the<unk><unk>  are benign or malignant or whether<unk> <unk>  disease is present. There are four main types of<unk>  biopsies that may be performed. A fine-needle aspiration biopsy is usually ordered when the doctor is almost certain that the lump is a cyst. This test is generally performed in conjunction with an ultrasound which is helpful in guiding the needle into a small or hard to find lump. The procedure is painless and it consists in inserting a thin needle into the<unk>  tissue while the lump is palpated. The core-needle biopsy is normally performed under local anesthesia and in a physician's office. The needle used in this procedure is slightly larger than the one used for a fine-needle biopsy because the procedure is intended to remove a small cylinder of tissue that will be sent to the laboratory for further examination. A newer type of<unk>  biopsy is the stereotactic biopsy that relies on a three-dimensional X-ray to guide the needle biopsy of non-palpable mass. The biopsy is performed in a similar manner, by using a needle to remove tissue sample but locating the specific area of the<unk>  is done by X-raying the<unk>  by two different angles. Surgical biopsy is a procedure performed to remove the entire lump or a part of it for laboratory analyzing. It may be painful and is done under local anesthesia.
Fibrocystic breast changes
Breast cancer
Papillomatosis of breasts
Multiple cutaneous leiomyoma
Tuberous breasts
Breast mass
Trichoadenoma
Duct ectasia of breast