Ask an Expert: View a Question
 
 
 
 

Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.

If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-997-8282. It is possible to get an appointment for a second opinion within a few days of contacting us.

We hope you find the information helpful!

ForumQuestionsAsk a Question
Complex Cysts
Questions about complex breast cysts.
1,204 Ask a Question

AskedPublicly Submitted Question
9/13/2017I have been having unilateral breast swelling for almost 5 months. I had a MRI that showed multiple T2 weighted cystic masses most likely representing cysts. At the follow-up ultrasound they noted:
In the retroareolar region of the left breast there is an ovoid hypoechoic lesion likely representing a complex cyst measuring 1.1 x 0.4 x 0.9 cm without discernible flow. Adjacent to this, there is a bilobed cyst or cluster of cysts measuring collectively 0.9 x 0.4 x 0.5 cm. In the 2:00 position 6 cm from the nipple there is a hypoechoic irregular lesion measuring 0.9 x 1.0 x 0.6 cm without discernible vascular flow.
I had all 4 complex cysts drained and the fluid was sent to cytology. The results are still pending at the radiologists. The retroaerolar cyst has already either refilled or a hematoma may have formed. The nipple area has become very tender (not hormone related) but there is no redness or signs of infection.
Can a complex cyst contain malignant cells even after a negative mammogram, MRI and Birads3 ultrasound?

RepliedJHU's Breast Center Reply
9/13/2017a complex cyst can contain malignant cells however it usually can be figured out before a biopsy or even fluid aspiration is done because the borders of the cyst will look irregular. a cyst would not refill in a day or two either so likely a hematoma.

Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.

 
 
 
 
 

© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved.