Distended involuted lobules.

Age:

  • Perimenopausal women.

Features

  • Smooth, discrete lump, usually painless.
  • U/S confirms cyst.

Treatment:

  • Aspiration
  • If fluid is clear & no residual mass- discharge patient.
  • If fluid is hemorrhagic or cysts relapse- excision is indicated to rule out malignancy.