by Dr.M.Aroon kamath » Wed Oct 07, 2009 7:52 am
Hi,
Breast cysts develop through processes of lobular involution and,
are found mostly in perimenopausal women.
It is uncommon to find cysts in women younger than age 35.
Cysts may develop in postmenopausal women, but
this is distinctly uncommon unless the woman is taking HRT.
I am unaware of your age or if you are on HRT.
Broadly one may classify cysts in the breast as 'simple' cysts and 'complex' (or 'atypical') cysts. Among the complex cysts, there is one variety known as 'sponge-like cluster of cysts'.Your lesion may belong to this variety.Complex cysts generally need to be more carefully assessed, followed up or treated.
Solitary cysts can be aspirated and the aspirate subjected to cytological assessment.This may be impractical in a 'sponge-like cluster of cysts'. Therefore, i would be inclined to suggest an excision biopsy of this lesion.
Please consult with your surgeon and discuss the pros and cons.
Good luck to you!
Dr.M.Aroon Kamath
MB BS, MS, FRCS(Edinburgh)