First time mammogram, ultrasound showed cyst with growth inside, surgery is scheduled.?

Question

Has anyone had this? I have a picture of the ultrasound - it shows a cyst that has something growing inside and it casts a dark shadow. I can't even feel this, so if I didn't go for my first mammo, I wouldn't have known. What can I expect from the surgery? Does anyone think it might be cancerous?

Answer 1

You are only getting an excisional biopsy. They will put a wire into the cyst(likely via ultrasound or mammogram) and the surgeon will use the wire to locate the lesion and cut it out. You do not need a second opinion because it is a very reasonable thing to do. If your discription is right, the cyst is not simple(completely dark). It has a things other than fluid in it and can be a growth(benign or malignant) or possiblely old blood. However, the fact that it shadows on u/s suggest calcification. Unless they cut it out they won't know for sure. The surgery is realitvely simple. The major risk is that they have to go back and cut more or they missed the lesion(both can happen even if the docs did everything right).

Unfortunately, the best option is surgery. Sometimes, they can use a biopsy gun and get a sample but since it is a cyst with something in it, the fear is that if they get a sample and drain the fluid, they may not find it again.

Good Luck. Definitely get the surgery.

Answer 2

I guess I would ask if they can do an ultrasound guided biopsy before any type of surgery is done. That whole situation seems odd to me, but I do know a woman that any time she has a breast cyst (they have all been negative for cancer), she has it removed. To me that is a little extreme, but I come from the point of view of having breast cancer and having a bi-lateral mastectomy.

I think you need to go back to your doctor and talk some more before any surgery is done. And take someone with you. Two sets of ears are better than one. If you don't have anyone, take a recorder. I am willing to bet that you missed some information that was given to you, that is totally normal. I don't even remember some of my appointments.

Anyway, good luck, take care!

Answer 3

Okay, you have scheduled surgery. First thing to ask you is this. Did you have a second opinion before the surgery was scheduled? It is always a good idea to see another doctor, and let him/her give you an opinion of what he/she sees on that ultrasound before you allow yourself to be cut open, perhaps even unecessarily, when there might be other options available to you. That being said, your question about what you can expect before, during and post-surgery are all questions for the surgeon, and his surgical team. Do not be hesitant to ask, it is your body after all! I pray that all goes well.

Answer 4

You won't know until they take it out.

However, they must suspect it could be. If they see something that is completely benign they will discuss it with you and tell you that it is benign and discuss the pro-s and con-s about having an operation. Usually if it is benign you won't need one.

Surgery will be a mastectomy or a lumpectomy

Make sure you discuss it with the surgeon so you know what is going to happen and how much breast tissue you will have left - if they need to do a reconstruction - what the risks and benefits are.

I am not confident that you understand what is going on.

Answer 5

thank god for mammo's. when it's removed lab tests will show what it is. in the mean time, try not to stress...i know easier said then done. Think positive, positive thinking and energy go a long long way. gl, i will pray for you.

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