PMC4008413_01
Computed tomographic image highlighting right sided gynaecomastia (yellow arrow) and left sided postoperative changes with seroma formation.
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PMC4008413_01_1472-6890-14-16-1.jpg
F1
His postoperative course was uneventful except mild seroma formation at the surgical site (Figure 1).
Photomicrographs of the tumor cells. Magnification; x40: Tumor cells arranged in aggregates and as cords (A). Magnification; x 40: Tumor cells exhibiting pleomorphic cells along with a focus of dermal lymphatic invasion (B).
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PMC4008413_01_1472-6890-14-16-2.jpg
F2
Tumor cells showed moderate to marked nuclear pleomorphism along with moderate cytoplasm (Figure 2).
Magnification; x 20: Negative E-cadherin immunostaining of tumor cells with positive internal control in skin adnexal structures.
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PMC4008413_01_1472-6890-14-16-3.jpg
F3
Tumor cells were negative for E-cadherin immunostain (Figure 3) and thus based on morphology and immunprofile a diagnosis of invasive lobular carcinoma, pleomorphic variant was rendered.