Cyst in Breast – What is Complex Breast Cyst?

Breast cancer can be every woman’s nightmare; it is a very expensive disease to deal with and not only that, it is truly fatal and painful. Living a healthier lifestyle is often advised, however, there are times when no matter how hard you try to be careful on what you eat, what you do and freeing yourself from unhealthy habits, you still can’t be completely disease-free. For women, it is recommended to have self-examination regularly so as to know if there’s no occurrence of what is known as complex breast cyst.

A complex breast cyst is usually a lump that has solid substances that are thicker; they are commonly oval in shape and are suspended inside the fluid. Unlike breast cyst, they are regarded as something serious since they have to be carefully examined and monitored. There is a risk that they may be malignant and can be signs or symptoms of fatal disease termed as breast cancer.

In addition, this type of cyst is basically determined in an ultrasound if there is enhancement in its posterior aspect, internal echoes, if there is occurrence of thickened walls, and fine septations. Radiologists consistently focuses on the evidence of intracystic mass as this may serve as an indication if there is neoplastic cell growth. However, this does not necessarily mean that a patient is already suffering from breast cancer.

It is important to note that if there is an occurrence of irregular lobule shapes located in the wall margin and if there are many internal echoes detected; especially when both are present, they may be associated with bigger risks of malignancy. Often times, family history of breast cancer or even a woman’s menopausal status may be the cause of such malignancy factor.

Furthermore, complex breast cysts are commonly taken as something quite serious by a medical expert. They are usually recommended to be biopsied. This type of cyst is different from other cysts since they contained solid substances, come in septations or what is known as thin walls, contain dead cells in which they have very thick fluid.

Recommendations for Complex Breast Cysts:

  • Aspiration method- this is done to ensure and examine that the cyst is not purely solid.
  • Needle aspiration- this procedure can be facilitated in a doctor’s office or clinic – administered by a physician who is well- trained and can later access the pathology laboratory which can aid in examining the fluid.
  • Core biopsy- this procedure is done by using a core needle or a hollow core needle in order to get tiny tissue samples from a breast mass. Afterwards, the tiny tissue samples will be sent to the pathology laboratory for further examination. This method can be facilitated in a physician’s clinic or hospital. The physician must be an expert in this type of medical procedure. This method is an efficient way in keeping yourself away from surgical biopsy.
  • Excisional biopsy- this procedure is done by removing the entire abnormal tissue and some of the other surrounding normal tissue. Here, the surgeon administers the procedure in an operating room, there is a need for local anesthetic for you not to completely feel the pain and you will undergo IV sedation. There is no need for the patient to stay overnight in the hospital.