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Cyst, Ruptured/Inflamed
Wendie A. Berg, MD, PhD, FACR, FSBI
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Inflammatory cyst
            • Definitions

              • Histopathologic diagnosis: Inflammatory cells surrounding cyst wall &/or cyst contents
              • Diagnosis can be suggested by typical findings on imaging, especially MR
              • Seen together with fibrocystic change (FCC)
                • Pathologic term: Constellation of fibrosis, micro-/macroscopic cysts, and adenosis

            IMAGING

            • General Features

              • Mammographic Findings

                • Ultrasonographic Findings

                  • MR Findings

                    • Image-Guided Biopsy

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Rao R et al: Select choices in benign breast disease: An initiative of the American Society of Breast Surgeons for the American Board of Internal Medicine Choosing Wisely Campaign. Ann Surg Oncol. ePub, 2018
                                          2. Seong M et al: Radiologic findings of primary mucinous cystadenocarcinoma of the breast: A report of two cases and a literature review. J Breast Cancer. 19(3):330-333, 2016
                                          3. Berg WA et al: Cystic breast masses and the ACRIN 6666 experience. Radiol Clin North Am. 48(5):931-87, 2010
                                          4. Uematsu T et al: MR imaging findings of benign and malignant circumscribed breast masses: part 2. Cystic circumscribed masses. Jpn J Radiol. 27(10):405-9, 2009
                                          5. Chen JH et al: Magnetic resonance imaging features of fibrocystic change of the breast. Magn Reson Imaging. 26(9):1207-14, 2008
                                          6. Daly CP et al: Complicated breast cysts on sonography: is aspiration necessary to exclude malignancy? Acad Radiol. 15(5):610-7, 2008
                                          7. Chang YW et al: Sonographic differentiation of benign and malignant cystic lesions of the breast. J Ultrasound Med. 26(1):47-53, 2007
                                          8. Vargas HI et al: Outcomes of sonography-based management of breast cysts. Am J Surg. 188(4):443-7, 2004
                                          9. Berg WA et al: Cystic lesions of the breast: sonographic-pathologic correlation. Radiology. 227(1):183-91, 2003
                                          10. Gizienski TA et al: Breast cyst recurrence after postaspiration injection of air. Breast J. 8(1):34-7, 2002
                                          11. Liberman L et al: Breast lesions detected on MR imaging: features and positive predictive value. AJR Am J Roentgenol. 179(1):171-8, 2002
                                          12. Leung JW et al: Multiple bilateral masses detected on screening mammography: assessment of need for recall imaging. AJR Am J Roentgenol. 175(1):23-9, 2000
                                          13. Venta LA et al: Management of complex breast cysts. AJR Am J Roentgenol. 173(5):1331-6, 1999
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Inflammatory cyst
                                                    • Definitions

                                                      • Histopathologic diagnosis: Inflammatory cells surrounding cyst wall &/or cyst contents
                                                      • Diagnosis can be suggested by typical findings on imaging, especially MR
                                                      • Seen together with fibrocystic change (FCC)
                                                        • Pathologic term: Constellation of fibrosis, micro-/macroscopic cysts, and adenosis

                                                    IMAGING

                                                    • General Features

                                                      • Mammographic Findings

                                                        • Ultrasonographic Findings

                                                          • MR Findings

                                                            • Image-Guided Biopsy

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Rao R et al: Select choices in benign breast disease: An initiative of the American Society of Breast Surgeons for the American Board of Internal Medicine Choosing Wisely Campaign. Ann Surg Oncol. ePub, 2018
                                                                                  2. Seong M et al: Radiologic findings of primary mucinous cystadenocarcinoma of the breast: A report of two cases and a literature review. J Breast Cancer. 19(3):330-333, 2016
                                                                                  3. Berg WA et al: Cystic breast masses and the ACRIN 6666 experience. Radiol Clin North Am. 48(5):931-87, 2010
                                                                                  4. Uematsu T et al: MR imaging findings of benign and malignant circumscribed breast masses: part 2. Cystic circumscribed masses. Jpn J Radiol. 27(10):405-9, 2009
                                                                                  5. Chen JH et al: Magnetic resonance imaging features of fibrocystic change of the breast. Magn Reson Imaging. 26(9):1207-14, 2008
                                                                                  6. Daly CP et al: Complicated breast cysts on sonography: is aspiration necessary to exclude malignancy? Acad Radiol. 15(5):610-7, 2008
                                                                                  7. Chang YW et al: Sonographic differentiation of benign and malignant cystic lesions of the breast. J Ultrasound Med. 26(1):47-53, 2007
                                                                                  8. Vargas HI et al: Outcomes of sonography-based management of breast cysts. Am J Surg. 188(4):443-7, 2004
                                                                                  9. Berg WA et al: Cystic lesions of the breast: sonographic-pathologic correlation. Radiology. 227(1):183-91, 2003
                                                                                  10. Gizienski TA et al: Breast cyst recurrence after postaspiration injection of air. Breast J. 8(1):34-7, 2002
                                                                                  11. Liberman L et al: Breast lesions detected on MR imaging: features and positive predictive value. AJR Am J Roentgenol. 179(1):171-8, 2002
                                                                                  12. Leung JW et al: Multiple bilateral masses detected on screening mammography: assessment of need for recall imaging. AJR Am J Roentgenol. 175(1):23-9, 2000
                                                                                  13. Venta LA et al: Management of complex breast cysts. AJR Am J Roentgenol. 173(5):1331-6, 1999