USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

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such as hematoma related to aspiration may affect mammographic
appearances, it is recommended that mammography not be performed until
two weeks after aspiration. Definitive evaluation of a persistent mass requires
excisional biopsy.
Conservative. Ultrasonography is useful in distinguishing cysts from solid
masses. If ultrasonography has been performed before aspiration and has
shown a cyst with distinct smooth contours, an alternative management plan
would be conservative follow-up with serial ultrasound scans. If the cyst
disappears on aspiration and the fluid is clear, no further workup is required.

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