case_images: PMC3137986_01
case_images: Hypoechoic lesion with demarcated margins and weak echo enhancement.
case_images: CRIM2011-245832.001.jpg
case_images: PMC3137986_01_CRIM2011-245832.001.jpg
case_images: fig1
case_images: A 42-year-old woman presented with bilateral lesions of the breasts which on ultrasound examination were considered hypoechoic cyst-like lesions with sharply demarcated margins (Figure 1).
case_images: Smear dominated by large mononuclear cells with slightly condensed basophilic cytoplasm and enlarged nucleoli.
case_images: CRIM2011-245832.002.jpg
case_images: PMC3137986_01_CRIM2011-245832.002.jpg
case_images: fig2
case_images: FNAC (fine needle aspiration cytology) was performed as part of the triple test, and air-dried, May-Grunwald-Giemsa-stained smears interpreted by the cytopathologist on duty revealed dissociated mononuclear cells of uncertain origin (Figure 2).
case_images: Mononuclear cells positive for Melan-A, consistent with metastatic cells.
case_images: CRIM2011-245832.003.jpg
case_images: PMC3137986_01_CRIM2011-245832.003.jpg
case_images: fig3
case_images: Immunocytochemistry was positive for Melan-A (Figure 3), negative for cytokeratin.