Breast Q

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Breast Q

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cirus
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08/11/07 - 06:20 AM

In pts < 35 yrs,

first step is U/S to differentiate cystic from solid or FNA first??

If FNA first, should it be followed by an U/S..??

appreciate help

Edited by cirus on 08/11/07 - 06:33 AM

MAGY17
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08/11/07 - 11:23 AM

fna can easily distinguish wheter a mass is solid or cystic
and you do it firts

MAGY17
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08/11/07 - 11:34 AM

firts-->fna
1=mass disappear--->reexam in 4-6 weeksfor reaccumulation of fluid-->fluid accum--->fna again
2- after fna mass persists--->mammography and excision after 2 week of fna
3-u/s is other choice for conservative magnament, but l think the fna is the preferent because you can send fluid for citologic

claudia_i
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08/18/07 - 03:31 PM

I would say do sono first, it's very sensitive to distiguish between solid mass and cyst for breast. And it's noninvasive and painless.

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Justice
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08/21/07 - 07:39 PM

claudia_i wrote:
I would say do sono first, it's very sensitive to distiguish between solid mass and cyst for breast. And it's noninvasive and painless.

Agree,
we need to start from a non-invasive method... FNA will follow USG and then USG again to see if liquid accumulates again...

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dermatology
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08/22/07 - 09:49 PM

i guess since its <35 years patient will go for USG ... if it was >35 years wud have gone for needle aspiration.....and wait --- if regresses --- good , if not ---excision of mass .

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