PMC3770012_01
Clinical photograph of the right breast showing the mass.
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fig1
Physical examination revealed a bosselated mass underlying the right nipple areolar complex measuring 7 cm in diameter with a bosselated appearance and variegated consistency (Figure 1).
Excision biopsy of the lump done through an elliptical inframammary incision.
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fig2
In view of the equivocal reports an open excision biopsy was done through an inframammary elliptical incision (Figure 2).
Histopathology of the excision biopsy specimen shows infiltrating papillary carcinoma with atypical nuclei, chromatin clumping, and severe pleomorphism (H&E staining, magnification 40x).
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fig3
A papillary carcinoma with invasive component was picked up in one of the cysts (Figure 3).
Specimen of the completion of modified radical mastectomy with ipsilateral axillary clearance.
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fig4
In view of the invasive component detected on histology the patient underwent a completion modified radical mastectomy with ipsilateral axillary clearance (Figure 4).
Duct papilloma (H&E staining, magnification 40x).
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fig5
The specimen of completion mastectomy revealed an intraductal papilloma with negative axillary lymph nodes and no evidence of any residual tumour (Figure 5).