complex cysts on baseline mammogram and ultrasound

[wayfleah]

I am 43 and I recently went for a baseline mammography. I was told to come back for an ultrasound which uncovered 2 small lesions in my right breast.  I was referred to a breast surgeon who told me I had 2 minute complex cysts.  He said they are usually benign but may me a sign of pre-cancer or cancer, and advised a surgical biopsy to remove and test them.  Do you have any other information to share with me?  I am very nervous about this.  Thank you.

[flyinggirl]

I had the same medical problem as yours about 6 weeks back. One 2 cm. complex cyst, got it aspirated and results were all benign. I still consulted a breast surgeon, who advised surgery , excisional biopsy to rule out the 2% chance that something other than cystic is going on. I went & got second & third opinions. Finally got the surgery done, it does have cancer. Excisional biopsy surgery is a minor problem , but what you find after that could either give you peace of mind or put you on the right track to save your life.

[CCF-RN,MSN-rf]

Dear wayfleah:  A complex cyst describes a structure that has both solid and cystic (fluid filled) components.  The concern is around the solid part of the structure.  Sometimes a surgeon will recommend removal to be certain that there is no abnormal cell growth and that these are, in fact, cysts.