case_images: PMC10869130_01
case_images: A: Diagnostic mammogram shows a retroareolar right breast mass (red arrow) and associated skin and trabecular thickening (blue arrow); B: Diagnostic ultrasound revealed a hypervascular, complex cystic mass; C: Prominent lymph nodes with concentric cortical thickening, measuring up to 0.4 cm, in the ipsilateral axilla were also found
case_images: cureus-0016-00000052393-i01.jpg
case_images: PMC10869130_01_cureus-0016-00000052393-i01.jpg
case_images: FIG1
case_images: A diagnostic mammogram revealed a 7.5 cm retroareolar mass with associated skin and trabecular thickening (Figure 1A). On diagnostic ultrasound, there was a hypervascular complex cystic mass with thick, irregular walls measuring 7.5 x 6.8 x 7.1 cm (Figure 1B). A few prominent lymph nodes with concentric cortical thickening were identified in the right axilla (Figure 1C).
case_images: A: Right breast mammogram a year later shows skin thickening, new nipple retraction (blue arrow), and a mass (red arrow); B and C: Ultrasound of the right breast revealed a corresponding hypervascular, hypoechoic mass
case_images: cureus-0016-00000052393-i02.jpg
case_images: PMC10869130_01_cureus-0016-00000052393-i02.jpg
case_images: FIG2
case_images: A diagnostic mammogram was performed and revealed a mass in the right central inner breast associated with new nipple retraction (Figure 2A). On ultrasound, there was a corresponding 4.0 x 3.5 x 1.3 cm irregular hypoechoic mass with internal vascularity (Figure 2B and Figure 2C). 
case_images: This slide shows the intraductal papilloma with usual ductal hyperplasia (black arrows) and fibrovascular cores (red arrows)
case_images: cureus-0016-00000052393-i03.jpg
case_images: PMC10869130_01_cureus-0016-00000052393-i03.jpg
case_images: FIG3
case_images: Wire localized excision of the right breast mass was performed with final surgical pathology revealing a benign intraductal papilloma (Figure 3).