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Complicated Cyst

Hi, yesterday my wife who is 56 had a diagnostic mammogram and an ultrasound. Two cysts were found in her left breast during the ultrasound. The radiologist said that one cyst was OK but the other needed to be aspirated and examined more closely. The radiologist also thought that the problematic cyst had some fluid in it and might collapse during the procedure. Why would the doctor recommend aspirating one cyst and not the other? Based on what she said I would assume the one cyst is a complex cyst. Is aspiration always recommended and what are the chances that this might be cancer? Very worried in NY.
2 Responses
587083 tn?1327120262
Breast cysts, like cysts elsewhere in the body, can be classified as either simple or complex.
Simple Cysts (fluid filled sacs) have virtually no chance of containing malignancy. They do not need to be aspirated unless they are causing discomfort and they do not need short-interval follow-up.Simple cyst do not turn into cancer.
Complex cysts however, are also fluid filled sacs but contain some solid material (debris) and that is why a fine needle aspiration is recommended to have the cells examined to better evaluate the nature of the cyst.
The majority of complex cysts are of benign nature though and you shouldn't be worried so much about it...I hope that the biopsy result will state that the complex cyst is BENIGN!
Best wishes to both you and your wife...
1527286 tn?1292790087
I'm not a doctor but I can share my experience. I was diagnosed with DCIS breast cancer on Nov 11th, yes, less than a month ago.  I can tell you from all my testing nand talks with doctors, radiologists, oncologists that some cysts look benign (round and smooth) and others are not...they seem to have a few sharp edges.  If it is an option, a second opinion is extremely valuable.  Also, get copies of all test results and pathology results and carry them with you at all times when seeing medical professionals.  There have been many appointments that would have been on hold until receipt of some report from another doctor.  Take a deep breath, hug your wife and don't let the scariness get the best of you.  I have had almost a month of such high stress and sleeplessness.  Second opinion is my opinion
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