Breast Mammogram/Ultrasound results showing Hypoechoic nodule or complex cyst

[BarbD]

I would like your opinion on the following results:
MAMMOGRAM (spot compression):There is an ill-defined 6-7 mm density with indistinct margins in the right upper outer quad.Density is flattened and changed w/spot compression.There are no clustered microcalcifications.
ULTRASOUND:Demonstrates a tiny hypoechoic nodule or complex cyst at 9 o'clock, 2-3 cm from the nipple measuring 4x3x4mm; too small for adequate characterization. No flow is seen on Doppler.
ASSESSMENT:Suspicious abnormality (ACR FC P/4)
RECOMMENDATION: Surgical consultation is recommended. Biopsy.

Appointment with surgeon is in 2 days and I am very frightened. Do you see anything positive in this report as all I can think of is cancer. Age is 49 and have had mammograms faithfully ever year and this is first change - breast tissue is dense.

Thank you.

[jenny01234]

A related discussion, opinion on hypoechoic sold nodule was started.

[BarbD]

Thank for you the wonderful service you provide.  An excisional biopsy was performed and it is benign.  Fibrocystic tissue.  We are greatly relieved.  Thank you again!

[CCF-RN,MSN-rf]

Dear Barbd:  When there is an abnormality on mammogram that does not disappear with spot compression or cannot be definitively characterized by other methods, a biopsy is generally recommended.  In the case of a suspicious finding on mammogram, only about 25%-50% turn out to be cancer but the only way to know for sure is to biopsy.