case_images: PMC3770012_01
case_images: Clinical photograph of the right breast showing the mass.
case_images: CRIM.ONCMED2013-129353.001.jpg
case_images: PMC3770012_01_CRIM.ONCMED2013-129353.001.jpg
case_images: fig1
case_images: Physical examination revealed a bosselated mass underlying the right nipple areolar complex measuring 7 cm in diameter with a bosselated appearance and variegated consistency (Figure 1).
case_images: Excision biopsy of the lump done through an elliptical inframammary incision.
case_images: CRIM.ONCMED2013-129353.002.jpg
case_images: PMC3770012_01_CRIM.ONCMED2013-129353.002.jpg
case_images: fig2
case_images: In view of the equivocal reports an open excision biopsy was done through an inframammary elliptical incision (Figure 2).
case_images: Histopathology of the excision biopsy specimen shows infiltrating papillary carcinoma with atypical nuclei, chromatin clumping, and severe pleomorphism (H&E staining, magnification 40x).
case_images: CRIM.ONCMED2013-129353.003.jpg
case_images: PMC3770012_01_CRIM.ONCMED2013-129353.003.jpg
case_images: fig3
case_images: A papillary carcinoma with invasive component was picked up in one of the cysts (Figure 3).
case_images: Specimen of the completion of modified radical mastectomy with ipsilateral axillary clearance.
case_images: CRIM.ONCMED2013-129353.004.jpg
case_images: PMC3770012_01_CRIM.ONCMED2013-129353.004.jpg
case_images: fig4
case_images: In view of the invasive component detected on histology the patient underwent a completion modified radical mastectomy with ipsilateral axillary clearance (Figure 4).
case_images: Duct papilloma (H&E staining, magnification 40x).
case_images: CRIM.ONCMED2013-129353.005.jpg
case_images: PMC3770012_01_CRIM.ONCMED2013-129353.005.jpg
case_images: fig5
case_images: The specimen of completion mastectomy revealed an intraductal papilloma with negative axillary lymph nodes and no evidence of any residual tumour (Figure 5).