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Complex Cysts
Questions about complex breast cysts.
1,314 Ask a Question

AskedPublicly Submitted Question
6/26/2017First ultrasound - In the left breast at one to 2 o'clock there is an oval shaped, bilobed hypoechoic nodule with an overall measurement of about 1 cm. With real-time ultrasound most consistent with cyst with internal debris.

Follow- up six months later, 1:00 to 2:00 axis, 3 cm from the nipple, there is a clus which contain low level internal echoes and measure 1.1 x 0.7 x 0.7 cm.

Recommend left breast ultrasound-guided core needle biopsy based on size increase. Is this the best approach? Would doing a breast-MRI before biopsy be advisable?
RepliedJHU's Breast Center Reply
6/29/2017The decision to biopsy, aspirate, or monitor by follow up imaging can seem subjective at times. The results of the ultrasound will influence the strategy recommended for management. Something that appears to be growing is concerning and should be pursued. Breast MRI while more sensitive is not more specific and can lead to false positive findings.

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