Most efficiently performed with real-time US guidance, usually by radiologist
Can be performed by clinician using palpation
BI-RADS 2 when aspiration recommended for symptomatic relief and lesion clearly simple cyst
BI-RADS 4A when aspiration performed for diagnostic uncertainty
Small lesion, usually ≤ 8 mm
Low-level internal echoes, possibly solid
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
OUTCOMES
Complications
Selected References
Berg WA et al: Cystic breast masses and the ACRIN 6666 experience. Radiol Clin North Am. 48(5):931-87, 2010
Daly CP et al: Complicated breast cysts on sonography: is aspiration necessary to exclude malignancy? Acad Radiol. 15(5):610-7, 2008
Berg WA et al: Operator dependence of physician-performed whole-breast US: lesion detection and characterization. Radiology. 241(2):355-65, 2006
Bassett LW et al: Diagnosis of Diseases of the Breast. 2nd ed. Philadelphia: Elsevier Saunders. 323-8, 2005
Stavros AT: Breast Ultrasound. Philadelphia: Lippincott Williams and Wilkins. 742-8, 2004
Gizienski TA et al: Breast cyst recurrence after postaspiration injection of air. Breast J. 8(1):34-7, 2002
Buchberger W et al: Incidental findings on sonography of the breast: clinical significance and diagnostic workup. AJR Am J Roentgenol. 173(4):921-7, 1999
Venta LA et al: Management of complex breast cysts. AJR Am J Roentgenol. 173(5):1331-6, 1999
Smith DN et al: Impalpable breast cysts: utility of cytologic examination of fluid obtained with radiologically guided aspiration. Radiology. 204(1):149-51, 1997
Ikeda DM et al: The role of fine-needle aspiration and pneumocystography in the treatment of impalpable breast cysts. AJR Am J Roentgenol. 158(6):1239-41, 1992
Ciatto S et al: The value of routine cytologic examination of breast cyst fluids. Acta Cytol. 31(3):301-4, 1987
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Preprocedure
Procedure
Outcomes
TERMINOLOGY
Definitions
Percutaneous aspiration of fluid from breast cyst
Most efficiently performed with real-time US guidance, usually by radiologist
Can be performed by clinician using palpation
BI-RADS 2 when aspiration recommended for symptomatic relief and lesion clearly simple cyst
BI-RADS 4A when aspiration performed for diagnostic uncertainty
Small lesion, usually ≤ 8 mm
Low-level internal echoes, possibly solid
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
OUTCOMES
Complications
Selected References
Berg WA et al: Cystic breast masses and the ACRIN 6666 experience. Radiol Clin North Am. 48(5):931-87, 2010
Daly CP et al: Complicated breast cysts on sonography: is aspiration necessary to exclude malignancy? Acad Radiol. 15(5):610-7, 2008
Berg WA et al: Operator dependence of physician-performed whole-breast US: lesion detection and characterization. Radiology. 241(2):355-65, 2006
Bassett LW et al: Diagnosis of Diseases of the Breast. 2nd ed. Philadelphia: Elsevier Saunders. 323-8, 2005
Stavros AT: Breast Ultrasound. Philadelphia: Lippincott Williams and Wilkins. 742-8, 2004
Gizienski TA et al: Breast cyst recurrence after postaspiration injection of air. Breast J. 8(1):34-7, 2002
Buchberger W et al: Incidental findings on sonography of the breast: clinical significance and diagnostic workup. AJR Am J Roentgenol. 173(4):921-7, 1999
Venta LA et al: Management of complex breast cysts. AJR Am J Roentgenol. 173(5):1331-6, 1999
Smith DN et al: Impalpable breast cysts: utility of cytologic examination of fluid obtained with radiologically guided aspiration. Radiology. 204(1):149-51, 1997
Ikeda DM et al: The role of fine-needle aspiration and pneumocystography in the treatment of impalpable breast cysts. AJR Am J Roentgenol. 158(6):1239-41, 1992
Ciatto S et al: The value of routine cytologic examination of breast cyst fluids. Acta Cytol. 31(3):301-4, 1987
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