PMC4818321_01
Lobulated cyst with a septated internal wall in the left breast at a 10 o'clock position and middle depth 10 cm from the nipple measuring 6 x 6.1 x 1.9 cm. This lobulated cyst is anechoic with posterior acoustic enhancement.
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Posterior acoustic enhancement was present (Fig. 1).
Gross examination of the surgical specimen measuring 3 x 1.5 x 1.5 cm showed a poorly demarcated, multicystic lesion containing clear yellowish fluid.
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The needle localization wire was then brought into the wound and the cyst was excised in its entirety (Fig. 2).
Two histologic slides (A and B) displaying fibroadipose tissue with vessels including a dilated cystic lymphatic space lined by attenuated endothelium. Further magnification of Part B better demonstrates the endothelial lining cells with objectives of 40x (C) and 60x (D).
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Pathologic findings and diagnosis included no evidence of a cystic wall on gross inspection and microscopic features supporting diagnosis of lymphangioma (Fig. 3).