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#* Columnar cell change. | #* Columnar cell change. | ||
#* Fibrocystic change. | #* Fibrocystic change. | ||
== Fibroadenoma == | |||
===Microscopic=== | |||
Thank you for the consult. | |||
The sections show a well-circumscribed breast nodule that separates from the surrounding fibrous tissue. It has a pale pink staining, dense, cellular stroma that consists of cells with bland nuclear features. The epithelial component consists of a variable cell population with nuclei that are small and round to oval and do not have an easy-to-identify nucleolus. There are more than three cells above the basement membrane. Mitotic activity is seen focally. No atypical mitoses are identified. | |||
The surrounding breast parenchyma has small calcifications in benign epithelium, focal cystic glandular dilation and epithelium with a columnar cell morphology and apocrine snouts. There is a small focus of glands without significant mitotic activity, an increased epithelial component with slit-like spaces, and nuclei that are small and round to oval. | |||
===Final diagnosis=== | |||
Breast, right, excisional biopsy for a nodule:<br> | |||
Fibroadenoma with epithelial hyperplasia.<br> | |||
Fibrocystic changes.<br> | |||
Columnar cell change.<br> |
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