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This question was answered on Sun 16, Mar 2008 12:44am by Dr Dennis S, MD
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complicated cyst and enlarged lymph node in breast



    
Asked by Unregistered on Fri 14, Mar 2008 11:17pm

I have a complicated cyst and an enlarged lymph node in breast. My physician thinks I should wait 6 months and see what comes up on another mammogram. I am worried that it could be cancerous, especially since there is an enlarged lymph node. Should I have this surgically removed or is it safe to allow them to do a test to see if there is fluid in the cyst?

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Answer by Dr Dennis S, MD (doctor) on Sun 16, Mar 2008 12:44am:

Hi. I just have some clarifications. How old are you? Can you palpate any breast mass? Can you see changes in the breast like asymmetry, dimpling, or nipple changes? Are you experiencing breast pain? Was a breast ultrasound done? For a palpable mass, there is a need to determine whether the mass is cystic or solid. Needle aspiration can be done. The character of the aspirate can help decide whether to undergo further treatment or not. If the aspirate is a bloody fluid or if there is a persistent mass after aspiration, an excision biopsy can then be performed and the specimen sent for histopathological evaluation. A solid mass can be considered for excision biopsy or a core needle biopsy. For a non palpable mass (seen only in the mammography), core needle biopsy can help establish the diagnosis. If the biopsy turns out to be negative, follow-up mammography can be done after 6 months. On the other hand, if it turns out to be positive, surgical intervention is then needed.
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