Pooky

I am going in for a biopsy of both breasts.  The medical imaging showed complex solid and cystic lesion seen in one breast corresponding to the palpable abnormality.  The outer margins appear fairly well circumscribed.  Internally, there is a crescent shaped area of hypoechogenicity and a more irregular heterogeneous filling defect.  Color Doppler evaluation shows no flow internally but peripheral flow is detected.

The other breast shows two hypoechoic nodules the dominant being lobulated and homogeneous.  These are seen on a background of numerous cysts.  The three lesions may represent cysts with internal inspissated debris, but couldn't entirely exclude solid or semi-solid mass lesions.

What does this mean?  Could it be cancer?

[BhumikaMD]

Hi,

A hypoechoic lesion is a finding on ultrasound studies that refers to any structure which bounces back sound waves poorly, so that the image generated appears dark on the monitor screen. Structures which have less density, and contain more water, air or fat may appear as hypoechoic.

Well the fact is that a hypoecoic lesion could be either a cyst or a beign tumour or a malignant tumour.

What is your age?

A hypoechoic lesion means that its density is less than the surrounding normal breast tissue which is said to be isoechoic on ultrasound. Further investigations like a biopsy would be required for a confirmed diagnosis.

A biopsy is a very safe procedure and your specialist will not do it , if it holds any safety concern for you. You could discuss the procedure withyour doctor in detail and clear out any doubts that you are having.

Let us know what the specialist advises and if you have any doubts.

Keep us posted on how you are doing.

Regards.