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Complex Cysts
Questions about complex breast cysts.
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AskedPublicly Submitted Question
3/25/2017Ultrasound for dense breasts classified as BI-RADS 3 showed 4 areas in the right breast and one in the left which may be solid mass or complicated cysts. Each is worded slightly differently which is hard to interpret.
-Rounded structure with internal echoes and mild enhanced through transmission which may be a solid mass or complicated cyst
- hypoechoic structure which may be a solid nodule vs complicated cyst
- hypoechoic structure with internal echoes and enhanced through transmission which is likely complicated cyst
- sharply defined hypoechoic structure with enhanced through transmission which is likely a simple cyst
- hypoechoic structure with internal echoes and no acoustical shadowing which may be a complicated cyst or solid mass.
- additional simple cysts also present in both breasts

I have a history of ductal papilloma also which was monitored but never excised. The recommendation was for short-term followup in 3 months but my gynecologist said if I was more comfortable I could see a breast specialist now, so I am doing that (same one who followed the papillomas). I am confused about all this but thinking of pushing for biopsy. Is this the best course?

As an addition - my mother has had a history of breast cysts also and a recent phyllodes tumor. There is a strong history of cancer in my family but not breast cancer - however 2 sisters with ovarian and uterine cancer. My youngest sister recently passed away due to an aggressive sarcoma, which I realize is unrelated but it is making me highly anxious about cancer. I'd also like to request genetic testing but am not sure if that will be supported.
RepliedJHU's Breast Center Reply
3/25/2017this likely warrants more imaging and possibly a biopsy so pursue it

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