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.
1,314 Ask a Question

AskedPublicly Submitted Question
1/5/2018Hi, I am 46 years old and found a large lump in upper left breast. Went to GP- sent same day for diagnostic 2D/3D mammogram ( w/CAD). Tech was sent back to explain results . She stated radiologist thinks its a cyst with some debris come back in 6 months. Dr. Report reads: BIRADS 3: - Probably Benign
- also: 3.3 CM by 2.8 CM complex cyst at 2:00. mild internal echoes - complex cyst. Also found was a 8mm NODULE- central to nipple , mildly complex with mild internal echoes. Lastly found 5 mm by 6 mm NODULE projecting at 9 o'clock position on tomosynthesis images. Ultrasound in this region demonstrates 6mm septated cyst with mild internal echoes. I just read a big fat probably not...but maybe? like a catchall if it grows. left breast is also swollen and puffy. I was offered a referral to a breast surgeon if I wanted to. Right breast...just mammography.... no issues. Massively worried after finding huge lump.. After screenings .not as relieved as I wanted to be. can you explain what report says and if you'd recommend biopsy?
RepliedJHU's Breast Center Reply
1/5/2018Make sure the radiologist is a breast imaging radiologist. also, make sure that there was correlation done (usually a bee bee is placed on the spot where the patient feels the lump) to confirm what you feel is where they see on imaging this complex cyst. this is a big cyst by measurement. no harm in getting a second opinion about a needle biopsy

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.