Atypical cells after breast cyst apiration

[Genmac123]

I am a 48 year old woman who has had many breast cysts over the past years.  Some have been noted as complex cysts.  I had an aspiration done in both the right and left breast with the fluid sent to pathology.  The results indicated "atypical cells with reactive process" for one of the cysts drained.  Can anyone tell me what this means?  Should I be worried?  They always take a "wait and see" approach.  Never had an MRI only multiple ultrasounds and mammograms. Any help would be appreciated. Thank you.

[zouzi]

Hi again and you welcome...
It's not unusual for cysts to refill with fluid.Cysts are benign lumps that do not turn into cancer.They are usually left alone but can be aspirated if they become too enlarged or painful.However the cyst that has atypical cells,is somewhat more concerning and needs to be monitored regularly.
Radiologist usually prefer to have both mammograms and Ultrasound tests done, to obtain more accurate imaging.I assume that the fluid aspirated from the cysts in both breasts don't show any malignancy and the one that has atypical cells is not really alarming to require a MRI, except to monitor it as recommended.
Anyway,I think that ( if you are overly worried) you should discuss your concern with your treating doctor who has your medical records and ask all the questions you have asked here.If I were you, I wouldn't leave his/her office until I would be completely satisfied with the answers given.
P.S Try to limit your caffeine intake(Coffee,chocolate dark colas) and also salt...it might help shrink the cysts.
Take care and good luck!.

[Genmac123]

Thanks so much for your response.  I was just concerned because the cysts reappeared a few months after they were aspirated and now I am still dealing with quite a few.  My last mammo was November 2010 and they didn't do an ultrasound at that time. Just wondering why they wouldn't do an ultrasound everytime instead of a mammogram cause my breasts are so dense with so many cysts.  Don't know if I should just wait till my next mammogram or try to get an ultrasound before my scheduled mammogram which is not until November of this year.

[zouzi]

Hi,
Atypical cells appear abnormal under a microscope but it doesn't necessarily mean it's cancer.There are many factors that can make normal cells appear atypical, including inflammation and infection. Even normal aging can make cells appear abnormal.
Although atypical cells don't necessarily mean something bad,but it's very important to monitor these cells to make sure they don't become more abnormal.
Some doctors prefer,(if they deem necessary) to obtain a larger sample of tissue or to have the cyst surgically removed to be on the safe side.
Please discuss with your doctor what are the best options for your particular case.
If you are still worried,you could seek a second opinion by another radiologist and see what he/she recommends .
Best wishes...