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Complex Cysts
Questions about complex breast cysts.
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AskedPublicly Submitted Question
8/16/2011Five days ago our 14 y.o. daughter told me she had a painful lump in her left breast (slight redness, no nipple discharge, no fever, questionably an extremely slightly inverted nipple). Her ultrasound today showed a 1.5 cm complex cyst. The radiologist recommended a follow up u/s in 1 month and if the cyst hasn't changed in size or has gotten larger then would do a needle aspiration. She assured me it's not unusual for a 14 yr old to have a complex cyst and doesn't want to put her through the ordeal of an aspiration unless absolutely necessary. I appreciate that but am still concerned about postponing an aspiration on the chance that it may be cancerous. Do you have information regarding a teen girl developing a complex cyst? Thanks for any insight.
RepliedJHU's Breast Center Reply
8/16/2011Thank you for turning to the Johns Hopkins Breast Center with your question. We would recommend your daughter, and you consult with breast specialists; breast surgeon and breast radiologist. Consider a Comprehensive Breast Center in your area, even if you have to travel a bit. Not because we fear something is wrong, but because breasts, even young breasts, need breast experts! Cysts are common including in young people, but a complex cyst may warrant aspiration. It may also be okay to wait. Statistically odds are good she will be fine. Important to follow up though. All of this can be done in a calm, teaching moment style, not to alarm your daughter, but to emphasize the importance we as women have for our breast care. Hope this helps, and best wishes!

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