PMC5499792_01
Ultrasonography of nodular formation at the upper external quadrant of the right breast.
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Ultrasound second look and fine-needle aspirate biopsy of the second lesion.
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The patient underwent a magnetic resonance imaging scan in which there was detected an additional 17mm lesion (BI-RADS-5) adjacent posterior to the lymph nodal mass previously detected, which was submitted to an ultrasound second look and FNAB ( Figure 2).
Metastatic lymph node agglomerate.
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The anatomopathology report of the surgical specimen stated that the 'lumpectomy specimen constituted of skin, adipose tissue and mammary tissue where there exists a nodule, well delimited, white, with posterior margin of 1mm, consisting of a lymph node agglomerate with poorly differentiated metastasis with CK7 positive and rare CD56 positive cells, focally positive for EMA' ( Figure 3).