Cysts with masses and masses with cysts: An imaging review of cystic breast masses

Vachhani, Prasanti G.; Shah, A.; Fábrega-Foster, Kelly; Harvey, Susan C.

doi:10.37549/ar2422

Cited by 4 publications

(5 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hence from our study, the highest incidence of breast cysts occurred among 20-29 years and 30-39 years age groups which is believed to be the peak of hormone function in women. Although our modal age is slightly lower than 30-50 years age group reported by Hines et al 1 and Prassanti et al 6 we still conform with previous reports 1,6,[11][12][13] that breast cyst is mostly a disease of pre-menopausal women which may fluctuate in size and number according to the phase of the menstrual cycle. It diminishes in frequency after menopause therefore breast cysts in post-menopausal women should be treated with suspicion.…”

Section: Discussionsupporting

confidence: 90%

“…This is unlike other authors who reported that simple and complicated cysts predominated. 6 , 9 , 14 , 20…”

Section: Discussionmentioning

confidence: 99%

“…When a simple cyst contains internal echoes either from pus, blood or cells, it becomes a complicated cyst. 6,7 However, where a solid (intramural) component is present within a cyst, it is termed a complex cyst. [6][7][8][9] Generally, simple cysts and complicated cysts are classified as benign.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 However, where a solid (intramural) component is present within a cyst, it is termed a complex cyst. [6][7][8][9] Generally, simple cysts and complicated cysts are classified as benign. Because complex cysts may be benign or malignant, histologic confirmation is required.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Imaging classification and BIRADS assessment of cystic breast lesions with pathologic correlates. a 5-year experience in Zaria, North West Nigeria

Adebanke Olarinoye-Akorede,

Lawal,

Zaria Ibrahim

2023

Afr H. Sci.

View full text Add to dashboard Cite

Background: Breast cysts encompass a variety of pathologies, both benign and malignant. Therefore, classifying cysts into different categories is needful to develop a management algorithm. This study aimed to describe and distinguish between simple, complicated and complex cysts; and compare the final BIRADS assessment with pathologic findings. Materials and methods: A 5-year retrospective review of our ultrasound database identified two hundred and seventy patients with cystic breast lesions. They were divided into simple, complicated and complex cysts according to ultrasound characteristics based on shape, orientation, margin, wall thickness, internal features (echogenicity, septa, mass) posterior acoustic features, surrounding tissue vascularity. The final BIRADS assessment was correlated with histological findings. Results: There were two hundred and sixty-six (98.5%) females and four (1.5%) males with a mean age 34.9 ± 11.8 years. The commonest presentation was a palpable mass, in 70% of the patients. There were 89 (33.0%) simple cysts, 61 (22.6%) complicated cysts and 120 (44.4%) complex cysts. Conclusion: Majority of the breast cysts (83%) were benign with overall 17% incidence of malignancy. Complex cysts were the most frequent cyst type in our study, it is also the category most frequently associated with breast cancer, obviating the need for histology. Keywords: Breasts; Cysts; BIRADS; ultrasound; pathology.

show abstract

Section: Discussionsupporting

confidence: 90%

“…This is unlike other authors who reported that simple and complicated cysts predominated. 6 , 9 , 14 , 20…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Imaging classification and BIRADS assessment of cystic breast lesions with pathologic correlates. a 5-year experience in Zaria, North West Nigeria

Adebanke Olarinoye-Akorede,

Lawal,

Zaria Ibrahim

2023

Afr H. Sci.

View full text Add to dashboard Cite

show abstract

“…Simple cysts are benign, requiring no further assessment unless aspiration is requested due to symptoms. [3] A complicated cyst is defined in the 5th edition of the ACR Breast Imaging Reporting and Data System (BI-RADS) Atlas as an otherwise simple cyst with debris or homogeneous low-level echoes that may shift with patient position without suggestion of a solid component and can be classified as benign. [4] The (BI-RADS) defines complex cystic lesions at US as cystic masses containing a solid component, even if discreet, are classified as ACR BI-RADS category 4 (ACR4) and considered suspicious for malignancy.…”

Section: Introductionmentioning

confidence: 99%

Cystic Breast Lesions: Combined Mammographic-Sonographic Evaluation and BI-RADS Assessment

2022

Al-Azhar University Journal of Virus Researches and Studies

View full text Add to dashboard Cite

Cystic breast lesions (CBLs) have been recognized as the most frequent female benign breast lesions. Complex cystic breast masses are suspicious findings that usually need biopsy. The aim of this study is to analyze the features of different types of cystic breast lesions at mammography and ultrasonography (US) and to determine its appropriate Breast Imaging Reporting and Data System (BI-RADS) categories. This is a prospective study, 25 patients with different types of CBLs were included. All lesions were subjected to mammography, uranography, Doppler internal vascularity and biopsy. The study was conducted for a period of one year from September 2020 to September 2021 and was approved by our institution's ethics committee. 25 different cystic breast lesions were found, six lesions (24%) were simple cysts, one lesion (4%) was clustered microcysts, seven lesions (28%) were complicated cysts, and eleven lesions (44%) were complex solid and cystic type. It was found that all simple, clustered microcysts and complicated cysts are benign, while 4 out of 11 complex cysts of the study were proved malignant. The PPVs for malignancy in simple, clustered microcysts and complicated cysts is 0%. While the PPVs for complex cyst was 36%. The accuracy of sonography in detecting and allowing correct diagnosis of breast cyst has been reported to be almost 100%. Complex cystic breast masses are suspicious ultrasound findings that usually need biopsy.

show abstract

Benign Disorders of the Breast in Pregnancy and Lactation

Taib

Rahmat

2020

Advances in Experimental Medicine and Biology

View full text Add to dashboard Cite

Cysts with masses and masses with cysts: An imaging review of cystic breast masses

Cited by 4 publications

References 32 publications

Imaging classification and BIRADS assessment of cystic breast lesions with pathologic correlates. a 5-year experience in Zaria, North West Nigeria

Imaging classification and BIRADS assessment of cystic breast lesions with pathologic correlates. a 5-year experience in Zaria, North West Nigeria

Cystic Breast Lesions: Combined Mammographic-Sonographic Evaluation and BI-RADS Assessment

Benign Disorders of the Breast in Pregnancy and Lactation

Contact Info

Product

Resources

About