I am 45, I have had several breast cyst aspirations (in both breast) since 2005. Although the aspirated fluid always comes out bloody, the results are always negative for cancer. I go back for my yearly mammogram and US in Dec. I have not had surgery to remove these cysts, even though the cysts continue to appear on US. Since these cysts have been symptomatic in the past, should I consider surgery to remove them? I don't believe any surgery is 'minor', aspirations included, as they too can have complications, however minor. I also wonder what contributes to the bloody appearance of the aspirated fluid? I am concerned that these aspirations will be as annual an event as my mamo. It is physically and emotionally exhausting.
Thanks for you help.
Dear maShiba: Cysts are fluid filled structures that are by definition, benign. When aspirated, the fluid can appear bloody due to hitting a small blood vessel or just the trauma of the procedure. In general, there is no reason to remove cysts unless they are causing discomfort. You might have this discussion with a medical breast specialist who can review your situation and make recommendations that would be more specific to your case. Medical breast specialists are often affiliated with large academic medical centers.
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