This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
A 53-year-old man has a slowly enlarging "bump" over the olecranon process of his elbow. The mass is excised and on section has a chalky white consistency. Microscopically, the mass is composed of elongated, needle-shaped crystals that under polarized light are negatively birefringent. Surrounding the crystals is a granulomatous inflammatory infiltrate. True statements concerning his condition include all of the following, except? 
Select and explain. 
A. Most patients with hyperuricemia will develop it, B. The first metatarsal-phalangeal joint is usually involved, C. The crystals can also be seen in synol fluid, D. This lesion can erode bone and cailage
A: Most patients with hyperuricemia will develop it
Answer: A: Most patients with hyperuricemia will develop it 
Explanation: Most patients with an increased serum uric acid do not have a gouty ahritis, though some do. Gouty tophi can develop in gout.