SIMPLE CYST

CLUSTERED MICROCYSTS

• CM is considered benign or probably benign in perimenopausal women.

• Perform bx if...

  • Finding is new or enlarging in a postmenopausal woman NOT on HRT to exclude a malignancy such as...

    • Apocrine or papillary ductal carcinoma in situ 

    • Mucinous carcinoma

  • There is a discrete solid component or suspicious calcifications

COMPLICATED CYST

• If CC has thick inspissated secretions they can be difficult to distinguish from solid masses

• When mass shows circumscribed margins, homogeneous low-level echoes, posterior enhancement, and is incidentally found on sono in pt with multiple cysts -> classify it as probably benign or benign

• Get aspiration and possible bx if...

  • Margins are not circumscribed

  • Mass is new, palpable, or tender 

COMPLEX CYSTIC SOLID MASS