Hyperechoic Lesion?

[contentedsammy]

I would like to find out what the term " Hyperechoic lesion" means. In the report it said "Within the upper outer quadrant of the left breast are 2 well defined hyperechoic lesions with the larger lesion measuring 2.4 cm in length, it may represent large lymph nodes.Suggest correclation with more recent mammogram." this was from an ultra sound. I have a mammogram tomorrow but will have to wait about a month for the results. Is it possible that you can tell what this means? I have numerous cysts in both breasts and have had one biopsied two years ago and came back fine. it shows that some of these cysts are clustered together.The largest cyst is situated at the 3 oclock position of the left breast measuring 1.1 cm in length. No abnormal solid nodules seen in either breast. The part about the hyperechoic lesion is at the bottom of the letter seperate from the cysts.
So I wondering what the hyperechoic lesions are ?
I hope this makes sense, Ive serched everywhere on the net to find out more about it and I feel im going in circles.
I hope you can help.
Thank you

[Montana girl 06]

My understanding is that dark areas on ultrasounds are more suspicious than lighter areas. My radiology report says I have a hypoechoic (meaning less echo, denser tissue, darker looking) with slightly ill-defined margins. Yet, my surgeon never spoke to me about this, all he talks about are having the calcifications biopsied. (Just trying to let you know that they're not always a big deal.) Suspicious usually means Birads 4, but you probably need to get the radiology report to find out. You should be able to get that from your doctor. Can you askk the nurse to make a copy for you?
It's definatly something I'd want to check up on to find out what they recommend.

[anxious4]

have any of you had what is called a "suspicious" lesion
that appeared (at least in my eyes) to be like a dark circle shaped lump.
I have been so afraid, and have really heard nothing from my doctor.
Are these always considered a category 4 ?
thank you

[Montana girl 06]

I also have very dense breast tissue, cysts and a variety of lumps including one that is hypoechoic, plus calcifications. A biopsy was recommended, but I was also given a 2nd alternative of waiting 3 months. My surgeon assured me that 3 months was a short amount of time. I chose to wait since I just had a biopsy in Jan. 06. I'm guessing that they want to see how much change there is (if any) in your breast in 3 months which may guide what type of biopsy to do.

[cyn17]

I think anytime we hear there is an abnormality, it's natural to worry. I think you have two choices: either ask to have the biopsy now for peace of mind or go ahead and wait 3 months. From other posts answered by the nurse, it sounds like waiting 3 months is not unreasonable to see if any changes occur. I wonder though, if they said the area looks abnormal, why wait??

[jer-bear]

Hi I just wanted to say thanks to all of you your postings have really helped me to understand my results a bit more.  My doctors have not really explained it well, and I felt a bit in limbo.  I have a 1 o'clock hypoechoic lesion on ultrasound measuring 5x11 mm, with some internal echoes.  I also have a cyst at the 3 o'clock to 4 cm and the nipple measuring 4 mm.  My OBGYN palpatated the cyst on examination, and sent me for the mamo, and ultra sound, and I had very dense breast tissue so they did a ultrasound same day and found the cyst, and then brought the radiologist in after seeing something eles, and he told me there was a area of concern and that they needed to have me back in 3 months to re-do the u/s and and at that point a biopsy.  Would this be a concern for all of you, or do I need to worry.  Thanks for your input everyone, sorry for the long post.

[Montana girl 06]

I thought I posted to you last night but it's not here. (?) I'll try again. To look at this from a different view I'd try to find out if the hyperechoic lesions on your first US are worrisome or suspicious.  If these lesions are considered benign you could try not to worry about them (easier said than done) and just follow-up with regular mammograms to see if there is any change in that area.  What do they think the lump in your other breast is?