NOTE
Mammograms  are discussed   in  detail  in  Gynecology, chapter 1.Diagnosis.  Cyst    aspiration  and fine-needle aspiration  are important   components
in  the preliminary diagnosis   of  breast  disorders.  Fine-needle aspiration  of  a
palpable    macrocyst,  the appropriate procedure   for this    patient,    can be  performed
in  an  office  setting.    Interpretation  of  fine-needle aspiration  requires    the
availability    of  a   trained cytopathologist.
Management. Preaspiration   mammography should  be  obtained.   If  the cyst
disappears  and the cytology    is  benign, no  further workup  is  required.
