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Doctor insights on: Ultrasound Guided Aspiration Breast Cyst

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Dr. Michael Gabor
2,193 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Abnormal cells found in breast cyst on cytology. Cannot be seen on ultrasound due to aspiration so cannot do biopsy. Would MRI help?

Abnormal cells found in breast cyst on cytology. Cannot be seen on ultrasound due to aspiration so cannot do biopsy. Would MRI help?

Yes.: If the MRI is negative the likelihood of cancer is less than 2%. If an MRI is not obtained, a follow up ultrasound examination should be obtained and, if the cyst recurs, a core needle biopsy of it may be indicated. I assume you have had a mammogram? If not, one should be obtained. ...Read more

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What is a complex breast cyst, and why would an aspiration, and core needle biopsy be recommended?

What is a complex breast cyst, and why would an aspiration, and core needle biopsy be recommended?

To rule out cancer.: A complex cyst means it is not a simple sac filled with liquid (like a water balloon). Think of a water balloon filled with some smaller water balloons, pebbles, and dirt. This can hide cancer, which is why you need a biopsy. Make sense? ...Read more

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A bloody breast cyst aspiration, cytology negative but surgeon concerned as it was chunkier than expected. Why is chunky a concern? What does it mean?

A bloody breast cyst aspiration, cytology negative but surgeon concerned as it was chunkier than expected. Why is chunky a concern? What does it mean?

Breast cyst: Cytology result negative means it's not cancer. Cytology result is given by a Pathologist, not by surgeon. However, if surgeon is suspicious, you should undergo for a biopsy to get a definitive answer. ...Read more

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Do they give anesthesia for aspiration of breast cyst?

Do they give anesthesia for aspiration of breast cyst?

See answer: Breast cyst aspiration is a relatively rapid procedure – local anesthesia / cutaneous – subcutaneous “numbing” is sufficient. ...Read more

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Last year I had a breast cyst aspirated (benign). There is another cyst in that same area this year. Do I need another aspiration?

Last year I had a breast cyst aspirated (benign). There is another cyst in that same area this year. Do I need another aspiration?

Risk assessment: Depending on your age, symptoms and your cancer risk profile it would be best to see your surgeon and consider a repeat procedure. ...Read more

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Can I find out if a breast cyst / tumor is malignant through a breast ultrasound and mammogram?

Can I find out if a breast cyst / tumor is malignant through a breast ultrasound and mammogram?

Sometimes.: There are lesions that can be determined with a high level of assurance to be benign and lesions that can be determined to be malignant.. There are also many lesions that cannot be determined with a high degree of certainty with these sstudies alone. ...Read more

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Had a breast cyst monitored every six months. now mammo say it has undefined borders. going for follow up mammo and ultrasound. cancer likelihood?

Had a breast cyst monitored every six months.  now mammo say it has undefined borders.  going for follow up mammo and ultrasound.  cancer likelihood?

Hard to make: a determination with limited info and no images, but it sounds like it now has some suspicious features and may require needle biopsy. That said, the probability of cancer is probably relatively low, but not low enough to keep following it due to the interval change. ...Read more

Cyst (Definition)

A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more


Aspiration (Definition)

1. The removal of a gas or fluid by suction. 2. The sucking of fluid or a foreign body into the airway when drawing breath. 3. A surgical technique used in the treatment of cataracts of the eye, in which an incision is made into the cornea, the lens capsule is severed, and the material of the lens is fragmented and ...Read more