PMC4898007_01
63-year-old woman with intracystic papillary carcinoma of the right breast. Right CC view showing no abnormality one year before presentation.
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Annual screening mammography initially revealed no abnormalities (Figure 1).
63-year-old woman with intracystic papillary carcinoma of the right breast. A, Right CC view of an anterior well circumscribed bilobed dense mass (arrow) at the five o'clock position. B, Right CC view spot magnification showing a BB overlying the mass (arrow).
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Mammography (Figure 2, Figure 3) and ultrasound (Figure 4) confirmed a 2.5 cm partially circumscribed complex cyst with a solitary punctate calcification.
63-year-old woman with intracystic papillary carcinoma of the right breast. Right MLO view of a well circumscribed mass (arrow).
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Mammography (Figure 2, Figure 3) and ultrasound (Figure 4) confirmed a 2.5 cm partially circumscribed complex cyst with a solitary punctate calcification.
63-year-old woman with intracystic papillary carcinoma of the right breast. Sonogram showing a thick walled irregular complex mass with several septations and an echogenic component (arrow).
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Mammography (Figure 2, Figure 3) and ultrasound (Figure 4) confirmed a 2.5 cm partially circumscribed complex cyst with a solitary punctate calcification.
63-year-old woman with intracystic papillary carcinoma of the right breast. Hematoxylin and eosin stain demonstrating malignant cells (blue arrow) penetrating through the cyst capsule (purple arrow) into the surrounding fat. Inset shows an area of concomitant DCIS (small arrows).
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Excisional biopsy was performed and pathology noted a 3 cm cyst with invasive intracystic papillary carcinoma and accompanying cribriform ductal carcinoma in-situ (Figure 5).