Complicated Cysts

Rodrigo Arrangoiz MS, MD, FACS, FSSO

Complicated Cysts

  • Complicated cysts are defined by ultrasound criteria as:
    • Lesions with homogeneous, low-level internal echoes:
      • Due to echogenic debris:
        • Without solid components, thick walls, or thick septa, and without vascular flow
    • The malignancy rate of complex cysts:
      • Which is 0.3%:
        • Is lower than that for lesions classified as “probably benign.”
    • These patients can be managed with:
      • Follow-up imaging studies
  • A complicated cyst noted on baseline examination or incidentally noted on ultrasonography:
    • Can be considered probably benign, BIRADS 3:
      • With 6-, 12-, and 24-month surveillance
  • If there are worrisome changes,:
    • Such as increase in size or development of solid components:
      • A diagnostic aspiration or biopsy should be performed
      • Complicated cysts are defined by ultrasound criteria as:
    • Lesions with homogeneous, low-level internal echoes:
      • Due to echogenic debris:
        • Without solid components, thick walls, or thick septa, and without vascular flow
    • The malignancy rate of complex cysts:
      • Which is 0.3%:
        • Is lower than that for lesions classified as “probably benign.”
    • These patients can be managed with:
      • Follow-up imaging studies
  • A complicated cyst noted on baseline examination or incidentally noted on ultrasonography:
    • Can be considered probably benign, BIRADS 3:
      • With 6-, 12-, and 24-month surveillance
  • If there are worrisome changes,:
    • Such as increase in size or development of solid components:
      • A diagnostic aspiration or biopsy should be performed

Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

Leave a Reply

Fill in your details below or click an icon to log in:

Gravatar
WordPress.com Logo

You are commenting using your WordPress.com account. ( Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. ( Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. ( Log Out /  Change )

Cancel

Connecting to %s