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Surgery Neck 22704316

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
High-Yield Explanation
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.

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