case_images: PMC4722435_01
case_images: Cranio-caudal view of mammogram showing a 2.4 cm x 1.4 cm x 1.8 cm lobulated mass with an indistinct margin in the left breast at 1 o'clock, 5.8 cm from the nipple.
case_images: rjv15301.jpg
case_images: PMC4722435_01_rjv15301.jpg
case_images: RJV153F1
case_images: Mammography showed a 2.4 cm x 1.4 cm x 1.8 cm lobulated mass with indistinct margins in the left breast (Fig. 1). 
case_images: Histologic images of the IDC. Magnification x100. (a) Hematoxylin and eosin (H&E) staining photomicrograph of left breast cancer showing proliferative growth of malignant ductal epithelial cells and (b) invasion under basement membrane.
case_images: rjv15302.jpg
case_images: PMC4722435_01_rjv15302.jpg
case_images: RJV153F2
case_images: T1cN0M0 ER-/PR-IDC with the 3+ presence of Her-2 on immunohistochemistry (Fig. 2), and some surrounding ductal carcinoma in situ. The sampled sentinel lymph nodes were negative for metastasis, but MCL was found in 7 out of 7 of the nodes (Fig. 3).  
case_images: Histologic images of MCL. Magnification x100. (a) H&E staining showing effaced nodal architecture due to closely packed neoplastic growth of mantle zone B-cells of lymphoid follicles, (b) singly scattered epitheliod histocytes making a starry-sky appearance at a lower magnification and (c) cyclin D1+ immunostaining.
case_images: rjv15303.jpg
case_images: PMC4722435_01_rjv15303.jpg
case_images: RJV153F3
case_images: T1cN0M0 ER-/PR-IDC with the 3+ presence of Her-2 on immunohistochemistry (Fig. 2), and some surrounding ductal carcinoma in situ. The sampled sentinel lymph nodes were negative for metastasis, but MCL was found in 7 out of 7 of the nodes (Fig. 3).  
case_images: PET demonstrating 18F-fluorodeoxyglucose-avid lymphadenopathy of the neck, axilla and mediastinum consistent with the patient's MCL. (a) The largest lymph nodes in the left neck level II measured 16 x 13 mm with a maximal SUV of 4.8. (b) The largest left axillary lymph node measured 26 x 18 mm with an associated maximal SUV of 3.7.
case_images: rjv15304.jpg
case_images: PMC4722435_01_rjv15304.jpg
case_images: RJV153F4
case_images: A PET/CT scan demonstrated 18F-fluorodeoxyglucose-avid lymphadenopathy of the neck, axilla and mediastinum that were consistent with the patient's MCL (Fig. 4).