case_images: PMC3509421_01
case_images: Ultrasonography showed heterogeneous mass with cystic and solid components, measuring 19 x 10 x 11 mm.
case_images: CRIM2012-378157.001.jpg
case_images: PMC3509421_01_CRIM2012-378157.001.jpg
case_images: fig1
case_images: On sonography the mass was heterogeneous with solid and cystic components, measuring 19 x 10 x 11 mm (Figure 1).
case_images: Low power magnification of papillary structures showing multilayer cells covering a fibrovascular stalk (H. E. x100).
case_images: CRIM2012-378157.002.jpg
case_images: PMC3509421_01_CRIM2012-378157.002.jpg
case_images: fig2
case_images: Permanent sections revealed a dilated duct with papillary structures protruding into the lumen (Figures 2 and 3).
case_images: Higher magnification of one of the papillary structures (H. E. x400).
case_images: CRIM2012-378157.003.jpg
case_images: PMC3509421_01_CRIM2012-378157.003.jpg
case_images: fig3
case_images: Permanent sections revealed a dilated duct with papillary structures protruding into the lumen (Figures 2 and 3).
case_images: Multiple papillary structures with one in the center showing a mitotic figure (H. E. x400).
case_images: CRIM2012-378157.004.jpg
case_images: PMC3509421_01_CRIM2012-378157.004.jpg
case_images: fig4
case_images: These papillary structures had fine fibrovascular cores and were covered with multilayered cells showing prominent nuclear pleomorphism and brisk mitotic activity (Figure 4).
case_images: Immunohistochemical SMA stain showing the absence of myoepithelial cell layer in papillary structures (x400).
case_images: CRIM2012-378157.005.jpg
case_images: PMC3509421_01_CRIM2012-378157.005.jpg
case_images: fig5
case_images: Final diagnosis was "intraductal papillary carcinoma" (Figure 5).