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Case 23 Continued

A large dominant mass is present in the left subareolar area. Multiple smaller benign-appearing masses are present bilaterally. Recommend ultrasound to evaluate cyst from solid mass. If a cyst is found, the work-up is complete. If the mass is solid, then spot compression magnification mammography would be indicated.

Multiple bilateral benign-appearing masses are considered benign and an ultrasound is not necessary [Leung and Sickles, AJR 2000 Jul;175(1):23-9] (unless, as in this case, there is a dominant mass). Whenever multiple masses are seen at screening mammography, one should include a recommendation for work-up of any palpable lump with either aspiration or ultrasound.

Ultrasound was performed:

Case 23 US:

  • When is aspiration necessary?

      a. When there is a possibility that it is solid

      b. When the cyst is symptomatic

      c. When a simple cyst is shown to have grown in size

      d. a and b

      e. a, b, and c




  • Last update: Thursday, December 6, 2001 at 4:17:56 PM.