Cyst Evaluation & Aspiration: Understanding Your Options

Question
I am 59yr old surgically post menopausal at age 52yrs(due to fibroids), no pregnancies, still had ben mensturating at 52yrs.Took birth control pills in 20s for 1-2yrs.No family hx of breast cancer but sister ,who took many fertility drugs developed ovarian cancer. Do not take HRT, drink little caffeine. Had a yearly mammogram and returned for diagnostic mammogram and ultrasound. Found a cluster of cysts that appear black on ultrasound, said to appear fluid filled and regular shaped. The cluster is near the surface of the breast and the ultrasound tech examined around the cysts and did not see anything suspicious.The reccommendation was to return in 6mos for f/u. My PCP will refer me to a general surgeon if I request, would aspiration be the first step and does a general surgeon do this? Should I be seeing an oncologist? Do cluster cysts in post menopausal women indicate a predisposition to cancer diagnosis? Am very appreciative for your time to answer our questions. Thank You for your valued input.

Answer
In itself what is seen does not indicate a cancer in any way. But in order to be sure that it has been interpreted correctly it probably should be done. And there is no harm in doing it. Surgeons usually prefer surgical biopsies. So call several oncologists in order to find out if anyone does it. Or maybe your diagnostic radiology department can do it under ultrasound guidance.