breast cysts

[Lilian12]

Aged 45.I had my Breast Mammo and US Scan on 08/29/2011.

Mammo Report

Standard cranio-caudal and medio-lateral oblique mammograms of both breasts were obtained. Comparison made with prior mammograms dated 08/19/2010.
The breasts demonstrate a heterogeneously dense appearance of fibroglandular tissues.
Scattered punctate microcalcifications are seen in both breasts. No dominant mass, suspicious microcalcifications or architectural distortions are seen.
The skin and nipples of both breasts are unremarkable.

US Breast

Bilateral whole breast ultrasound scan was preformed. Comparison was made  with prior scan dated 03/08/2011.
Several cysts are seen in both breasts, some demonstrating low level internal echoes or internal septa. Scarring is noted in upper outer quadrant of the (R) breast.
No suspicious solid or cystic lesion is demonstrated.
Benign appearing lymph nodes are seen in both axillae.

IMPRESSION:

Heterogeneously dense breasts with no mammographic evidence of malignancy or suspicious interval change.
Multiple cysts are scattered in both breasts, some demonstrating internal septa or low level internal echoes. No suspicious solid or cystic lesion is seen.
Routine annual screening is recommended.

My question are:-

1) Doctor suggest now I need not go for US scan half a year just put to yearly scan together with Mammo. Is this ok or not as last time she felt due to my conditions put me to half a year scan?

2) My cysts never go away as some cysts are complicated will it turns something bad?

3) Doctor told me as if I turn menopause cysts might go away. My breasts are dense and I sometimes I do suffer pain and heavy especially my left breast give me more problem.

Kindly give me some advice.

Thanks a Million.

Warmest Regards
Worried

[Lilian12]

Thank a millions for your quick knowledgeable reply.

Due to my Heterogeneously Dense Breasts-should I request for  a MRI as Mammogram sometimes give false result due to my breast conditions?

Due to I insist on US scan twice a year, my next scan will only be scheduled on April 2012. Not sure whether to wait for next doctor review report appointment after the next April US Scan or should I call Doctor for immediate MRI.

Once again, thanks.

Warmest Regards
Worried

[japdip]

I see no problem as US and Mammogram are often done at the same time. This means only one trip to the imaging institution ... more convenient for you. All cyst DO NOT go away .... some stay the same size and some grow and some can occasionaly reduce in size but they rarely go away completely. Cysts are BENIGN and that does not change. Breast cysts and Fibroadenomas (both benign conditions) can cause discomfort or a heavy feeling. They are often connected with hormone levels in the body; breasts may become more tender during certain times of the month as the hormone levels increase. When menopause occurs there is a reduction in the amount of hormones that the ovaries produce and this may lessen the size or occurence of cysts.   Regards ....