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Complex Cysts
Questions about complex breast cysts.
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AskedPublicly Submitted Question
10/21/2017Hi. Was diagnosed with TNBC + BRCA 1 on 4th Oct 2016, no node involvement. Had chemo 4xEC + Carbo/Taxol (Carboplatin x 4 every 3 weeks, and Paclitaxel x 12 weekly) between 4th Nov 2016 and 27th April 2017. Had CT + Bone scan + MRI showed no metastatic illness. Had skin & nipple sparring bilateral mastectomy with immediate implant reconstruction on 5th June 2017, 2 lymph nodes removed. Pathology report on 15th June 2017 showed complete pathological response in both breast and lymph nodes. Had MRI on 8th October 2017 for forthcoming hysterectomy, none at the medical team bothered to give me the results until yesterday when during an appointment with the consultant gynaecologist i asked for a copy of the results. It says: "There is a tiny simple cyst within the liver which is otherwise unremarkable. There is a 4 mm cyst within the tail of the pancreas which could not be visualised on the previous CT, this may well be due to the difference in modalities, however, the finding warrants follow-up MRI of the pancreas in 1 year". Reading this paralysed me and all I could do today was to search online for information and cry. I feel terrified this could be secondary breast cancer and I have no one to talk about it now. Please help me with some clarification. Many thanks.
RepliedJHU's Breast Center Reply
10/21/2017cysts in liver are common and not concerning. cysts within the pancreas are rarer and do require follow up. If you had said you were positive for BRCA2 gene mutation then I would be quite worried since BRCA2 carries on it breast, ovarian, pancreatic, and melanoma (and prostate cancer occurring in young men). But you wrote your gene mutation is BRCA1 which doesn't carry a link to pancreatic cancer. Request that your medical oncologist present your case to their weekly breast cancer tumor board so that this imaging study can be reviewed by the team with radiologists present for a group review and discussion to ensure it is only a cyst. hang in.... L

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