case_images: PMC5499792_01
case_images: Ultrasonography of nodular formation at the upper external quadrant of the right breast.
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case_images: PMC5499792_01_f1000research-6-11933-g0000.jpg
case_images: f1
case_images: Ultrasound second look and fine-needle aspirate biopsy of the second lesion.
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case_images: PMC5499792_01_f1000research-6-11933-g0001.jpg
case_images: f2
case_images: The patient underwent a magnetic resonance imaging scan in which there was detected an additional 17mm lesion (BI-RADS-5) adjacent posterior to the lymph nodal mass previously detected, which was submitted to an ultrasound second look and FNAB ( Figure 2).
case_images: Metastatic lymph node agglomerate.
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case_images: PMC5499792_01_f1000research-6-11933-g0002.jpg
case_images: f3
case_images: The anatomopathology report of the surgical specimen stated that the 'lumpectomy specimen constituted of skin, adipose tissue and mammary tissue where there exists a nodule, well delimited, white, with posterior margin of 1mm, consisting of a lymph node agglomerate with poorly differentiated metastasis with CK7 positive and rare CD56 positive cells, focally positive for EMA' ( Figure 3).