I have reviewed both ultrasound reports carefully.
First Report:
• Breast tissue: Normal
• No abnormal breast mass
• No enlarged lymph nodes
• Small hypoechoic area in right axilla
• BIRADS I (normal)
Second Report:
• Breast parenchyma: Normal
• No breast mass
• Right axilla: Well-defined hypoechoic subcutaneous cystic lesion (4.3 × 2.5 mm)
• Impression: Right axillary epidermal cyst
Important points:
✔ Present for 1.5 years
✔ No change suggesting malignancy
✔ No lymphadenopathy
✔ Breast normal
✔ BIRADS I (benign)
This is most consistent with a benign epidermal cyst, not cancer.
A cyst that remains stable for 1.5 years without suspicious changes is very unlikely to turn cancerous.
There is no current red flag in your reports.
Next Steps
You have 3 options:
✔ If asymptomatic:
• No immediate treatment required
• Annual clinical examination sufficient
✔ If painful / increasing in size:
• Minor surgical removal (simple daycare procedure)
✔ If sudden changes occur:
• Rapid increase in size
• Redness
• Pain
• Discharge
→ Immediate evaluation
No need for biopsy right now based on reports.
Health Tips
✔ Avoid repeated pressing or squeezing the lump
✔ Maintain hygiene in axillary region
✔ Avoid frequent shaving trauma
✔ Monitor size every 3–6 months
✔ Continue routine breast screening as per age guidelines
An epidermal cyst is a superficial skin lesion — not a deep breast tumor.
From both reports, there is no indication of malignancy at present.
If you would like, I can help you understand whether removal is necessary in your specific case based on size, symptoms, and personal risk factors.
Booking an online consultation will allow me to assess this thoroughly and give you clear long-term guidance so you can stay reassured.