Complex Breast Cyst

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123frank
New Member


Date Joined Dec 2010
Total Posts : 3
   Posted 12/7/2010 2:20 PM (GMT -6)   
Hi all, I am writing on behalf of my wife who is not internet savvy and wanted to ask a question. My wife who is 56 with no history of BC in her or her family was called back for a diagnostic mammo and ultrasound. She had the tests yesterday and was told by the radiologist that she needs a biopsy with fine needle aspiration. It appears that she has 2 cysts in her left breast. One is OK and the other requires the biopsy. The radiologist also told her that the troublesome cyst looked partially filled with liquid and may go away after it is aspirated. Why is the radiologist recommending this if it is only a cyst ? Are complex cysts different and require more diagnosis? Are they indicative of cancer or does the radiologist want to play it safe...Thanks, Very Nervous in NY.

barkyboys
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Date Joined Jul 2003
Total Posts : 1564
   Posted 12/7/2010 7:27 PM (GMT -6)   
Complex cysts are more troublesome than simple cysts. Simple cysts are filled with fluid and show up easily as fluid-filled on an ultrasound. A complex cyst has more than one "pocket." If not all of the pockets are fluid-filled, then it is more difficult to "read" on an ultrasound. I think the radiologist is being very thorough. A needle aspiration is the usual course of action. If the results are inconclusive, then they will want to excise the cyst. Most of the time, complex cysts are fine. They are a bit more likely to have pre-cancerous or cancerous cells. But about 80% of all biopsies are benign. Please let us know how it goes!

Hugs to your wife... and teach how to use that darned computer!
BEV

123frank
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Date Joined Dec 2010
Total Posts : 3
   Posted 12/8/2010 8:11 PM (GMT -6)   
Well my wife went for her needle aspiration today, however, the doctor was unable to actually aspirate the cyst. The complex cyst was very small, maybe 3 mm and round. She told my wife that the reason they wanted it examined was the color, not the shape or size. I wonder if its small size made it more difficult to aspirate? The doctor was eventually able to remove the entire cyst and did verify visually that it is a complex cyst with solid parts as well as some darkish fluid in the center. It has been sent off for biopsy but we will not know for a couple of days. I don't know if this is good or bad but we are anxious about getting the results.

barkyboys
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Date Joined Jul 2003
Total Posts : 1564
   Posted 12/8/2010 9:50 PM (GMT -6)   
The good news is, it's outta there! We'll be hoping for benign results... or as CHIPPER said, "pretzels." Let us know. Waiting is so hard!

BEV

123frank
New Member


Date Joined Dec 2010
Total Posts : 3
   Posted 12/10/2010 11:39 AM (GMT -6)   
Well, just found out this morning ...there was good news..it turned out to be a complex 6mm cyst that was benign. The doctor does want my wife to go to a breast specialist to have the remaining portion removed. Doctor said it was uncommon for a cyst to grow it the area where it was found. It appears that they want to keep an eye on the area. Hopefully all will remain well..thanks for your answers and support. I wish you all the best and a happy holiday season !

Kat09
New Member


Date Joined Nov 2010
Total Posts : 16
   Posted 12/10/2010 5:38 PM (GMT -6)   
Do not want to scare you at all, since all is benign with your wife.  However, 12 years ago I had a "lump", not found on mammogram or ultrasound, but I felt it.  Over a year, it grew larger and my docs kept telling me it was just thickened breast tissue.  Finally, I told my surgeon it had enlarged and 3 months later she did an ultrasound herself, which looked somewhat suspicious.  Core biopsy one week later revealed some atypical cells and excisional biopsy 2 weeks later revealed 2 cm. invasive ductal carcinoma.  Since the biopsy was done as an out-patient under twilight sleep, I began to awaken in the O.R. and overheard my doctor and nurses discussing it.  The only thing I remembered hearing was the word "cystic."  After I was taken back to my room, my surgeon came in and I was smiling and told her I heard someone in the O.R. say it was cystic.  She took me by the hand and said "yes, there was a cyst", however, "there was also cancer beneath it."  I'm only sharing this with you so your wife will know to keep a close watch on herself and if at anytime she feels something isn't right, tell her to insist on having it checked out. I tell every woman I meet who has any breast issues to please be proactive, and check, check and double check each month for anything that feels different. 
 
Best to you both, and I'm so glad she had a good report.
Current Meds: Hydrocorisone Suppositories, Librax, Toprol (BP), Cymbalta, Lortab prn.
Med Hx: UP dx. 11-2010, Diverticular Disease dx. 2009, Hypertension, Chronic Pain (Fibromyalgia & Pelvic Pain due to adhesions), Multinodular Goiter, GERD, Sjogren's Syndrome (autoimmune), Breast Cancer 12 yrs. ago

Angel1309
New Member


Date Joined Dec 2010
Total Posts : 1
   Posted 12/10/2010 6:36 PM (GMT -6)   
I am 39 (family history of breast cancer, sister, 1st cousin, 2nd cousin, gggrandmother died from breast cancer) and I found a lump about 2 months ago..... I made an appt with Gyn and

The Next Week:
1st ultrasound - radiologist recommended 6 month follow up but everything appears to be benign.... being the worrying type i had my Gyn call and refer me to a specialist.

One week later:
2nd ultrasound - specialist said it was just a swollen area, no explanation.... follow up in 6 months or mammagram. So, I went back to my Gyn and she wanted me to have an MRI, but I had to have a Mammagram first.

One week later:
Mammagram - Radiologist said everything looks normal follow up in six months.
Still didnt know... so time for MRI.

Two weeks later:
MRI - found lesion/fibroadnoma/cyst questionable... follow up with an ultrasound!!!! Are you joking me is what I am thinking.

So Today (2 weeks later),
3rd ultrasound - I walked in and showed the Tech where the questionable area is and she says "That is not the area we are worried about, did no one tell you that you have another place we are concerned about". I about flipped out. So now I have a golf ball size lump on top of my breast that NO ONE knows what it is (just a swollen area)!!!! and a SECOND Complex Cyst (only showed up in the MRI)!!!! I asked to have a biopsy!!!

Now I have an appointment in 2 weeks and I am scared to death, any opinions????

Post Edited (Angel1309) : 12/10/2010 4:45:46 PM (GMT-7)


barkyboys
Veteran Member


Date Joined Jul 2003
Total Posts : 1564
   Posted 12/11/2010 10:14 AM (GMT -6)   
Sounds like you are being proactive and not taking "we don't know" as an answer. A biopsy scar is a small price to pay for peace of mind, in my opinion. And now you will have a definitive answer. Let us know how it goes.

Hugs...
BEV

MNMommy
New Member


Date Joined Jan 2011
Total Posts : 1
   Posted 1/4/2011 11:52 PM (GMT -6)   
I just went through all of this TODAY! Complex cyst with debris after a diagnostic mammo and ultrasound. the radiologist immediately aspirated the lump -- (brown liquid by the way) and it's on its way for testing just in case. in the dr's words..."he's drained hundreds of cysts and none has ever been cancerous" but as we all know -- there's a very first time for everything. oh, and i asked him what was this "debris" in my fluid...he explained it was probably just protein which is very normal. due to the size of my cyst (small walnut) - i really had no choice but to get it removed/drained. results should be back in 4 to5 days. i hope this helps?? at least someone!! :-)

barkyboys
Veteran Member


Date Joined Jul 2003
Total Posts : 1564
   Posted 1/5/2011 6:59 AM (GMT -6)   
Here's to hoping you keep his record intact! Let us know!

Hugs...
BEV
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