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Complex Cysts
Questions about complex breast cysts.
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AskedPublicly Submitted Question
5/27/2011I am 41 years old. Found a lump in left breast in February. Got in right away for Mammogram. Instantly could see the lump and a quick call to radiologist told technician to go ahead and do an ultrasound while I was there. Results were a 13.5 mm complex cyst and to follow up in 6 weeks. I followed up first part of April, cyst had decreased in size to 10 x 8 mm (looked like Volkswagon bug on ultrasound!) and report suggested follow up in 6 weeks. Had 3rd ultrasound first part of this week, received results yesterday to follow up with primary doctor re: abnormal ultrasound to do followup to see if benign. The cyst is now 8.1 x 6.7 mm, so a little smaller. My primary doctor is consulting to see if they want to biopsy, wait and do another ultrasound, etc. Any suggestions? I have a very strong family history of breast cancer HOWEVER, a study conducted on my family shows that my father is the only one of his siblings that is NOT a BRCA gene carrier (other 3 siblings are).
RepliedJHU's Breast Center Reply
5/27/2011thank you for turning to the Johns Hopkins breast center with your questions. Generally, with a complex csyt (a cyst that contains a solid component) we would recommend either an ultra sound guided core biopsy, if the solid component is significant enough so that evacuation of the cysts is not a concern), or a surgical excisional biopsy if there is concern about loss of the landmarks of the cyst. Seek a second opnion at a Comprehensive Breast Center where surgeons and breast imagers are specially and experienced trained in breast care. We would be happy to see you here @ JH...call Shelia @ 443-287- BRST (2778). Best wishes!

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