Breast Cyst

[floridamom2]

Hi!
I am a 38 yo woman who found a rather large lump in my breast 9 days ago, had US done and eventually Aspiration Biopsy.  

The results showed:
No Malignant cells identified
Absent Ductal Epithelium
Acute Inflammation
Foamy Macrophages

My questions are:  Can I have Mastitis without fever or other signs of infection?

I have been having sharp shooting pains in my breasts along with the feeling that they are leaking with no actual fluid coming out for about a year now, is this related to the cyst?

What does Absent Ductal Epithelium mean?

My axillary Lymph Nodes measured 2.1 X 0.7 cm and 1.2 X 0.9 cm and the doctor asked if I had been sick recently?

Thanks so much for your help!!

[BhumikaMD]

Hi,

Glad the posts were of help to you.

Its alright if no antibiotics were prescribed as the chances of an infection from a needle aspiration procedure are minimal.

You could stil take the pain relief medications for the pain and tenderness.

Yes the sac would eventually resolve.

It would be best to follow up with your doctor for a review in fe wdays after the procedure to confirm that the healing process is going on fine.

Let us know about how you are doing and if you have any other doubts.

Reagrds.

[floridamom2]

Thanks so much for your responses!!!

Here are my concerns:  my GYN did NOT give me antibiotics, since I have no fever or tenderness except from the large bore needle aspiration is this OK?

The original US report calls my cyst a "complex thick walled cyst with thick septations noted within this thick cystic mass measuring 1.8 X 1.3 X 1.8 cm ."  Well since my aspiration I can still feel what I think is the sac there, it has not gotten smaller and it has been 6 days now.  It is about 1/4 of the size of the original structure.  Is this normal and will it eventually go away?

Thanks again for all your help and information - you have really helped ease my mind!
Kristin

[diazd]

I commend you for asking the questions.  However, if you are experiencing pain and discomfort, please see your obgyn. Never expect anyone to love you more than yourself.  And after completting medical testing, never ever assume that you will get a phone calls regarding the tests.  If your medical provider tells you they will call you and they do not call you in a week-then call them.  My mother went in for an appointment due to her breast being enlarged and she was given a script to get a mamagram. She went the next day and received no call back -7 months later-she was still feeling discomfort she went back the the doctor and the doctor wanted to know what the biopsy results were.  My mother was mortified to heat this as she was never told she had needed a biopsy.  Here she had stage 3 cancer-9-out 11 lymphs nodes tested positive for cancer and she fought like hell.  Only 3 years later she was in remission and went back for other testing and she was advised that it had metastized and she passed 2 years later.  All of that could of had been avoided with a simple phone call.  Take care of yourself.  

[BhumikaMD]

Hi,

The findings are suggestive of an acute inflamamtory process - mastitis.

You could have mastitis with symptoms localised to the breast tissue like the ones you mention, and not have generalised symptoms such as fever etc.

Your doctor would give you a course of antibiotic medications and pain relief medications and that should help resolve your symptoms.

Absent ductal epithelium means the lining which lines a duct is absent and so there is no probability that this is a clogged milk duct or duct involvement is present.

Axillary lymph nodes are enlarged in several conditions including infection due to shacing, using a deodorant, waxing or even having fever etc. therefore, the presence of axillary lymph nodes prompted that question from your doctor.

But, the mastitis explains the lymph nodes in your case.

Let us know if you have any more doubts and post us about how you are doing.

Hope this helps.

Regards.