Concern after breast ultrasound

anagle78

Hello,

I am recently 40 years old with a family history of breast cancer (2 paternal Aunts and other distant paternal relatives). I've been told in past I had cystic breast and had first screening mammogram in November 2016. Earlier this week went for screening mammogram which became diagnostic mammogram since I felt small lumps in both breast. Also had breast ultrasound. (Results below). I do at times feel itchiness and pain or tenderness, more so in left than right breast but did not share this with doctor. Was told after ultrasound to follow-up with another ultasound in 6 months of right breast by radiologist. Today my primary doctor's office called and Physician Assistant recommends I go to breast surgeon to discuss having removed instead of continuous ultrasounds.

I am normally anxious about health issues and tend to always think the worst. Today I did feel small lump on left areola which seems to be in areas of cyst cluster mentioned in ultrasound findings. My concerns are the chances of cysts in left breast being more than cysts and if I should wait to have follow-up ultrasound before consulting breast surgeon as Physican Assistant recommneded.

MAMMOGRAM FINDINGS: A metallic BB marker indicates the area of clinical concern in the right upper outer and left upper outer breast. There is no corresponding abnormality. There are multiple bilateral round masses consistent with a benign etiology. Possible distortion is seen in the lateral left breast 10 centimeters from the nipple which appears to be normal tissue on additional views.

SONOGRAM FINDINGS: Sonogram was directed to the indicated areas of clinical concern.

Targeted ultrasound of the palpable area in the left breast indicated by the patient at 1 o'clock 8 centimeters from the nipple demonstrates no suspicious sonographic abnormality. At 1 o'clock 4 centimeters from the nipple a 13 x 13 x 6 millimeter cluster of cysts is identified. Imaging of the lower outer breast in area of questioned distortion on mammogram demonstrates no suspicious sonographic abnormality.

Targeted ultrasound of the palpable area indicated by the patient in the right breast 10:00 position 9 centimeters from the nipple demonstrates a 7 x 3 x 6 millimeter oval circumscribed isoechoic mass. This may be an incidental finding, rather than the palpable finding. At 10 o'clock 6 centimeters from the nipple there is an 8 x 4 x 7 millimeter oval circumscribed hypoechoic mass, possible solid mass versus complicated cyst with septation