{"id":6164,"date":"2026-09-15T10:40:10","date_gmt":"2026-09-15T10:40:10","guid":{"rendered":"https:\/\/www.impc.fr\/?p=6164"},"modified":"2026-09-15T14:23:18","modified_gmt":"2026-09-15T14:23:18","slug":"masse-kyste-sein-mammographie-que-faire","status":"publish","type":"post","link":"https:\/\/www.impc.fr\/en\/masse-kyste-sein-mammographie-que-faire\/","title":{"rendered":"Masse ou kyste au sein \u00e0 la mammographie : que faire ?"},"content":{"rendered":"\n[et_pb_section fb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbHero\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bbrgba(0,0,0,0.5) 0%|rgba(0,0,0,0) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(0,0,0,0.5)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(0,0,0,0)\u00a0\u00bb 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Pourquoi passer une IRM lombaire ? Ce qu’il faut savoir avant l’examen<\/h1>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb41px||||false|false\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb41px||||false|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb41px||||false|false\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_padding=\u00a0\u00bb0px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb3_5,2_5″ use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb2″ _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb78%\u00a0\u00bb width_tablet=\u00a0\u00bb90%\u00a0\u00bb width_phone=\u00a0\u00bb97%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb custom_padding=\u00a0\u00bb33px|10px||10px|false|true\u00a0\u00bb make_fullwidth=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_column type=\u00a0\u00bb3_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.8″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#000000″ text_font_size=\u00a0\u00bb16px\u00a0\u00bb header_2_font=\u00a0\u00bbMontserrat||||||||\u00a0\u00bb header_2_text_color=\u00a0\u00bb#004D77″ header_2_font_size=\u00a0\u00bb23px\u00a0\u00bb header_3_font=\u00a0\u00bbPoppins||||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bb#004d77″ header_4_font=\u00a0\u00bbPoppins||||on||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbrgba(96,145,150,0.8)\u00a0\u00bb header_4_font_size=\u00a0\u00bb19px\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb width_tablet=\u00a0\u00bb100%\u00a0\u00bb width_phone=\u00a0\u00bb100%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_tablet=\u00a0\u00bb125%\u00a0\u00bb max_width_phone=\u00a0\u00bb125%\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_margin=\u00a0\u00bb|0px|||false|false\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb|0px||0px|false|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb|0px||0px|false|false\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb0px|51px|1px||false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb|51px|||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|0px|||false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ border_width_right=\u00a0\u00bb1px\u00a0\u00bb border_color_right=\u00a0\u00bb#a3a3a3″ border_width_right_tablet=\u00a0\u00bb0px\u00a0\u00bb border_width_right_phone=\u00a0\u00bb0px\u00a0\u00bb border_width_right_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]

La d\u00e9couverte d’une masse ou d’un kyste au sein lors d’une mammographie n’est pas synonyme de cancer : la grande majorit\u00e9 de ces d\u00e9couvertes sont b\u00e9nignes, notamment les kystes simples et les fibroad\u00e9nomes. La conduite \u00e0 tenir d\u00e9pend ensuite de l’aspect de l’image, pr\u00e9cis\u00e9 par une \u00e9chographie mammaire compl\u00e9mentaire, et d’une classification qui d\u00e9termine si une simple surveillance suffit ou si des examens plus pouss\u00e9s sont n\u00e9cessaires.<\/p>\n

Que signifie la d\u00e9couverte d’une masse ou d’un kyste au sein ?<\/h2>\n

Une masse correspond \u00e0 une zone plus dense que le tissu mammaire environnant, visible \u00e0 la mammographie, tandis qu’un kyste est une petite poche remplie de liquide. Ces deux types de d\u00e9couvertes sont fr\u00e9quents, en particulier chez les femmes de plus de 40 ans ou lors d’une mammographie de d\u00e9pistage syst\u00e9matique. Elles ne provoquent le plus souvent aucun sympt\u00f4me et sont rep\u00e9r\u00e9es de fa\u00e7on fortuite lors de l’examen, sans lien avec une g\u00eane ressentie au pr\u00e9alable.<\/p>\n

Une masse ou un kyste est-il forc\u00e9ment un cancer ?<\/h2>\n

Non, la plupart des masses et des kystes d\u00e9couverts au sein sont b\u00e9nins. Les kystes simples, remplis de liquide clair, sont pratiquement toujours sans gravit\u00e9. Les masses solides correspondent quant \u00e0 elles tr\u00e8s souvent \u00e0 des fibroad\u00e9nomes, des tumeurs b\u00e9nignes fr\u00e9quentes chez les femmes jeunes, ou \u00e0 d’autres formations sans caract\u00e8re canc\u00e9reux. Seule une minorit\u00e9 de masses pr\u00e9sente un aspect suspect n\u00e9cessitant des investigations plus pouss\u00e9es, g\u00e9n\u00e9ralement en raison de contours irr\u00e9guliers, d’une forme particuli\u00e8re ou d’une \u00e9volution dans le temps.<\/p>\n

Comment le radiologue classe-t-il cette d\u00e9couverte ?<\/h2>\n

Le radiologue utilise une classification internationale, appel\u00e9e classification ACR (ou BI-RADS), pour \u00e9valuer le niveau de suspicion d’une image mammaire et d\u00e9terminer la conduite \u00e0 tenir. Cette classification va de ACR1, pour un examen normal, \u00e0 ACR5, pour une image fortement \u00e9vocatrice de cancer. \u00c0 titre indicatif :<\/p>\n

\n\n\n\n\n\n\n\n\n
Classification<\/th>\nSignification<\/th>\nConduite propos\u00e9e<\/th>\n<\/tr>\n<\/thead>\n
ACR1-ACR2<\/td>\nNormal ou b\u00e9nin (kyste simple, fibroad\u00e9nome typique)<\/td>\nAucun suivi particulier, d\u00e9pistage habituel<\/td>\n<\/tr>\n
ACR3<\/td>\nProbablement b\u00e9nin<\/td>\nSurveillance rapproch\u00e9e, souvent \u00e0 4-6 mois<\/td>\n<\/tr>\n
ACR4<\/td>\nSuspect<\/td>\nBiopsie g\u00e9n\u00e9ralement recommand\u00e9e<\/td>\n<\/tr>\n
ACR5<\/td>\nFortement \u00e9vocateur d’un cancer<\/td>\nBiopsie et bilan compl\u00e9mentaire rapides<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

Cette classification n’est jamais d\u00e9finie sur la seule mammographie : elle s’appuie souvent sur les r\u00e9sultats combin\u00e9s de la mammographie et de l’\u00e9chographie mammaire.<\/p>\n

Quels examens compl\u00e9mentaires sont r\u00e9alis\u00e9s ensuite ?<\/h2>\n

Apr\u00e8s la mammographie, une \u00e9chographie mammaire est presque syst\u00e9matiquement r\u00e9alis\u00e9e pour pr\u00e9ciser la nature de l’image observ\u00e9e. Elle permet notamment de distinguer un kyste, qui appara\u00eet comme une poche liquide bien d\u00e9finie, d’une masse solide, dont l’aspect n\u00e9cessite une analyse plus approfondie. Dans certains cas, en particulier chez les femmes ayant une poitrine dense ou un ant\u00e9c\u00e9dent familial de cancer du sein, une IRM mammaire peut \u00eatre propos\u00e9e en compl\u00e9ment pour mieux caract\u00e9riser la l\u00e9sion.<\/p>\n

Lorsque l’image reste suspecte apr\u00e8s ces examens, une biopsie est r\u00e9alis\u00e9e pour analyser directement les cellules et confirmer ou \u00e9carter un cancer. Ce pr\u00e9l\u00e8vement, le plus souvent effectu\u00e9 sous anesth\u00e9sie locale et guid\u00e9 par \u00e9chographie, reste un geste bien tol\u00e9r\u00e9 et g\u00e9n\u00e9ralement peu douloureux.<\/p>\n

Quelle diff\u00e9rence entre un kyste et une masse solide ?<\/h2>\n

Un kyste est une cavit\u00e9 remplie de liquide, dont le contenu peut parfois \u00eatre ponctionn\u00e9 si sa taille ou son inconfort le justifie, notamment lorsqu’il devient volumineux ou g\u00eanant. Une masse solide, en revanche, correspond \u00e0 un tissu compact dont la nature ne peut \u00eatre pr\u00e9cis\u00e9e qu’\u00e0 l’imagerie compl\u00e9mentaire, voire \u00e0 la biopsie en cas de doute. Cette distinction, simple \u00e0 \u00e9tablir gr\u00e2ce \u00e0 l’\u00e9chographie, oriente directement la suite de la prise en charge : un kyste simple ne n\u00e9cessite en g\u00e9n\u00e9ral aucun geste, tandis qu’une masse solide peut justifier une surveillance ou des examens plus pouss\u00e9s selon son aspect.<\/p>\n

Quel suivi est propos\u00e9 selon la classification retenue ?<\/h2>\n

Pour une image class\u00e9e ACR3, probablement b\u00e9nigne, une surveillance \u00e9chographique ou mammographique est g\u00e9n\u00e9ralement propos\u00e9e \u00e0 4 \u00e0 6 mois d’intervalle, afin de v\u00e9rifier la stabilit\u00e9 de l’image dans le temps. Si l’aspect reste inchang\u00e9 sur plusieurs contr\u00f4les, la surveillance peut ensuite s’espacer, voire s’arr\u00eater. En revanche, une image class\u00e9e ACR4 ou ACR5 conduit le plus souvent directement \u00e0 une biopsie, sans attendre un d\u00e9lai de surveillance, afin d’obtenir un diagnostic rapide et fiable.<\/p>\n

Faut-il s’inqui\u00e9ter en attendant les r\u00e9sultats ?<\/h2>\n

Il est naturel de ressentir de l’inqui\u00e9tude face \u00e0 la d\u00e9couverte d’une masse ou d’un kyste, mais il est utile de garder \u00e0 l’esprit que la grande majorit\u00e9 de ces d\u00e9couvertes se r\u00e9v\u00e8lent b\u00e9nignes une fois les examens compl\u00e9mentaires r\u00e9alis\u00e9s. La d\u00e9marche de classification et de surveillance vise justement \u00e0 \u00e9carter un doute avec pr\u00e9cision, plut\u00f4t qu’\u00e0 confirmer une inqui\u00e9tude. Si l’attente des r\u00e9sultats est source d’anxi\u00e9t\u00e9 importante, n’h\u00e9sitez pas \u00e0 en parler \u00e0 votre m\u00e9decin ou \u00e0 l’\u00e9quipe qui vous suit, afin d’obtenir des explications adapt\u00e9es \u00e0 votre situation.<\/p>\n

Confort et accompagnement pendant les examens<\/h2>\n

Le radiologue prend le temps d’expliquer les r\u00e9sultats de la mammographie et de l’\u00e9chographie, ainsi que la conduite \u00e0 tenir propos\u00e9e, afin que vous compreniez clairement les prochaines \u00e9tapes. Cette \u00e9coute est particuli\u00e8rement importante lorsque des examens compl\u00e9mentaires ou une biopsie sont n\u00e9cessaires, pour aborder ces \u00e9tapes avec plus de s\u00e9r\u00e9nit\u00e9.<\/p>\n

R\u00e9aliser votre bilan s\u00e9nologique chez IMPC<\/h2>\n

Dans nos 10 centres d’imagerie m\u00e9dicale \u00e0 Paris<\/strong>, la mammographie et l’\u00e9chographie mammaire sont r\u00e9alis\u00e9es le m\u00eame jour par des radiologues<\/strong> sp\u00e9cialis\u00e9s en imagerie de la femme, ce qui permet d’obtenir un avis complet d\u00e8s la premi\u00e8re consultation. Vous pouvez prendre rendez-vous en ligne dans un centre IMPC proposant cet examen, ou contacter directement le centre pour toute question sur votre convocation ou votre suivi.<\/p>\n

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Prise de rendez-vous IRM – Paris 75009 – P\u00f4le Sant\u00e9 Berg\u00e8re<\/p>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.27.5″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|700|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb text_font_size=\u00a0\u00bb18px\u00a0\u00bb header_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb background_color=\u00a0\u00bb#007bff\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb width_tablet=\u00a0\u00bb79%\u00a0\u00bb width_phone=\u00a0\u00bb100%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb max_width_tablet=\u00a0\u00bb\u00a0\u00bb max_width_phone=\u00a0\u00bb\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb custom_margin=\u00a0\u00bb8px||10px||false|false\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb8px||8px||true|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb8px|0px|6px|0px|false|true\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb10px|20px|10px|20px|true|true\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb9px|20px|9px|20px|true|true\u00a0\u00bb custom_padding_phone=\u00a0\u00bb8px|20px|8px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb link_option_url=\u00a0\u00bbhttps:\/\/www.doctolib.fr\/centre-d-imagerie-medicale\/paris\/irm-drouot\u00a0\u00bb text_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb text_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb text_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb border_radii=\u00a0\u00bbon|12px|12px|12px|12px\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb text_text_color__hover_enabled=\u00a0\u00bbon|hover\u00a0\u00bb text_text_color__hover=\u00a0\u00bb#FFFFFF\u00a0\u00bb background_color__hover=\u00a0\u00bb#004D77″ background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb background__hover_enabled=\u00a0\u00bbon|hover\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb]

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.<\/h2>[\/et_pb_text][et_pb_image src=\u00a0\u00bbhttps:\/\/www.impc.fr\/wp-content\/uploads\/2020\/08\/parisimpc.png\u00a0\u00bb title_text=\u00a0\u00bbparisimpc\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"

La d\u00e9couverte d’une masse ou d’un kyste lors d’une mammographie inqui\u00e8te souvent, alors qu’elle est fr\u00e9quente et le plus souvent sans gravit\u00e9. D\u00e9couvrez comment cette d\u00e9couverte est class\u00e9e, quels examens compl\u00e9mentaires permettent de la pr\u00e9ciser, et quel suivi est g\u00e9n\u00e9ralement propos\u00e9.<\/p>","protected":false},"author":11,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"2880","footnotes":""},"categories":[1],"tags":[],"class_list":["post-6164","post","type-post","status-publish","format-standard","hentry","category-echographie-grossesse"],"yoast_head":"\nMasse ou kyste au sein \u00e0 la mammographie : que faire ?<\/title>\n<meta name=\"description\" content=\"La d\u00e9couverte d'une masse ou d'un kyste \u00e0 la mammographie est le plus souvent b\u00e9nigne. 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