The surgical specimen is sent fresh from the surgical suite to the laboratory for frozen section examination. Before cutting into the specimen, the pathologist makes a careful gross examination, which demonstrates that most of the specimen has replacement of the normally fatty breast tissue with strands of dense, white, firm tissue. In a few areas, roughly spherical lesions up to 3-cm diameter with a bluish hue to them are seen. Palpation of these areas produces a fluctuant sensation. Which of the following is the MOST likely diagnosis based on the gross evaluation?
The surgical specimen is sent fresh from the surgical suite to the laboratory for frozen section examination. Before cutting into the specimen, the pathologist makes a careful gross examination, which demonstrates that most of the specimen has replacement of the normally fatty breast tissue with strands of dense, white, firm tissue. In a few areas, roughly spherical lesions up to 3-cm diameter with a bluish hue to them are seen. Palpation of these areas produces a fluctuant sensation. Which of the following is the MOST likely diagnosis based on the gross evaluation?
💡 Explanation
The surgical specimen is sent fresh from the surgical suite to the laboratory for frozen section examination. Before cutting into the specimen, the pathologist makes a careful gross examination, which demonstrates that most of the specimen has replacement of the normally fatty breast tissue with strands of dense, white, firm tissue. In a few areas, roughly spherical lesions up to 3-cm diameter with a bluish hue to them are seen. Palpation of these areas produces a fluctuant sensation. Which of the following is the MOST likely diagnosis based on the gross evaluation?
✓ Correct Answer: D. Fibrocystic disease
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