This page is dedicated to organizing various examples of standardized exam questions whose answer is breast cyst. While this may seem a odd practice, it is useful to see multiple examples of how breast cyst will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 30 year old nulligravid woman comes to the clinic with complaints of right great pain. She noticed a “lump” in this breast when she was performing an exam on herself. The lump is tender to the touch, and even wearing a bra has become uncomfortable for the patient. She is worried because her cousin was recently diagnosed with breast cancer. The patient has no past medical history or surgical history. She will occaisinolay smoke a “couple” cigarettes and drinks about 3 beers every weekend. Her vital signs are within normal limits. A physical exam reveals a 3 x 5x 6 cm mass in her right breast. It is mobile. Ultrasound is performed, and shows a well-circumscribed mass with posterior acoustic enhancement. There are no exogenic debris or solid components seen on the study. A needle aspiration is performed and yields clear fluid. The mass resolves after the needle aspiration. What is the most likely diagnosis in this patient?
Explanation: no solid components on ultrasound + needle aspiration with clear liquid + resolution of mass upon needle aspiration = breast cyst
Page Updated: 10.16.2016