Puncture aspiration of cyst of breast
CPT4 code
Name of the Procedure:
Puncture Aspiration of Cyst of Breast
Summary
This procedure involves using a needle to remove fluid from a cyst in the breast. It is a minimally invasive method to treat symptomatic breast cysts or to obtain fluid for diagnostic purposes.
Purpose
The procedure is used to:
- Alleviate discomfort or pain caused by a breast cyst.
- Confirm the nature of the cystic fluid to rule out any malignancy.
- Reduce the size of the cyst.
Indications
Indications for this procedure include:
- Presence of a palpable lump in the breast that is painful or causing discomfort.
- Diagnostic assessment of a cyst identified on imaging studies such as mammography or ultrasound.
- Patient anxiety concerning a palpable mass, even if asymptomatic.
Preparation
Before the procedure, the patient may need to:
- Avoid eating or drinking for a few hours if sedation is planned.
- Inform the healthcare provider of any medications being taken, as some may need to be adjusted.
- Undergo imaging studies such as an ultrasound to locate the cyst accurately.
Procedure Description
- The patient lies down, and the breast is cleaned with an antiseptic solution.
- Local anesthesia is administered to numb the area.
- A sterile, fine needle is inserted into the cyst under ultrasound guidance.
- Fluid is aspirated through the needle into a syringe.
- The fluid may be sent for laboratory analysis if needed.
- A small bandage is applied to the puncture site after the needle is removed.
Duration
The procedure typically takes about 15 to 30 minutes.
Setting
Puncture aspiration of a breast cyst is usually performed in an outpatient clinic or a hospital's radiology department.
Personnel
The procedure is performed by a radiologist or a breast surgeon, often with the assistance of a nurse or technician.
Risks and Complications
Possible risks include:
- Minor bleeding or bruising at the puncture site.
- Infection, though rare.
- Cyst recurrence.
- Discomfort or pain during or after the procedure.
Benefits
- Immediate relief from pain and discomfort caused by the cyst.
- Swift reduction or elimination of the palpable lump.
- Diagnostic clarity if the fluid is sent for analysis. Patients often experience relief soon after the procedure.
Recovery
Post-procedure instructions may include:
- Keeping the puncture site clean and dry.
- Avoiding strenuous activities for a day or two.
- Monitoring for signs of infection, such as redness or swelling.
- Scheduling a follow-up appointment as advised.
Alternatives
Other treatment options include:
- Watchful waiting with periodic monitoring if the cyst is asymptomatic.
- Surgical removal, which is more invasive and usually reserved for recurrent or suspicious cysts. Each alternative has its considerations, but puncture aspiration is less invasive and provides quick relief.
Patient Experience
During the procedure, the patient might feel a quick pinch or slight pressure when the needle is inserted. After the procedure, there might be minor soreness or bruising at the puncture site, typically managed with over-the-counter pain relievers and comfort measures like applying a cold compress.