case_images: PMC6766669_01
case_images: Sonogram of the left breast showing hypoechoic lesion.
case_images: CRIONM2019-4307281.001.jpg
case_images: PMC6766669_01_CRIONM2019-4307281.001.jpg
case_images: fig1
case_images: Ultrasound (Figure 1) and mammogram (Figure 2) of the left breast reported a 2.5 cm lobulated hypoechoic lesion with well-demarcated borders and posterior acoustic enhancement suggestive of a complicated cyst.
case_images: Mammogram of the left breast.
case_images: CRIONM2019-4307281.002.jpg
case_images: PMC6766669_01_CRIONM2019-4307281.002.jpg
case_images: fig2
case_images: Ultrasound (Figure 1) and mammogram (Figure 2) of the left breast reported a 2.5 cm lobulated hypoechoic lesion with well-demarcated borders and posterior acoustic enhancement suggestive of a complicated cyst.
case_images: MRI left breast.
case_images: CRIONM2019-4307281.003.jpg
case_images: PMC6766669_01_CRIONM2019-4307281.003.jpg
case_images: fig3
case_images: The bilateral breast MRI (Figure 3) that was done 3 weeks later revealed a left retroareolar 3.8 x 3.7 x 3.5 cm mass complex, heterogeneous with rim enhancement.
case_images: High-grade features with cell atypia.
case_images: CRIONM2019-4307281.004.jpg
case_images: PMC6766669_01_CRIONM2019-4307281.004.jpg
case_images: fig4
case_images: The final pathology revealed a 5.5 cm primary invasive metaplastic ductal carcinoma (Figure 4).
case_images: Cell atypia with necrosis.
case_images: CRIONM2019-4307281.005.jpg
case_images: PMC6766669_01_CRIONM2019-4307281.005.jpg
case_images: fig5
case_images: The histologic grade was 3 with squamous differentiation and was triple negative (Figure 5).
case_images: PMC6766669_02
case_images: Left breast sonogram showing a cystic mass.
case_images: CRIONM2019-4307281.006.jpg
case_images: PMC6766669_02_CRIONM2019-4307281.006.jpg
case_images: fig6
case_images: She promptly underwent a sonogram (Figures 6 and 7) and mammogram that revealed a heterogeneous breast, and corresponding to the palpable abnormality was a large complex cystic mass measuring 2.7 x 2.4 x 2.6 cm with a thick wall with enhanced through transmission and some internal vascularity.
case_images: Left breast mammogram.
case_images: CRIONM2019-4307281.007.jpg
case_images: PMC6766669_02_CRIONM2019-4307281.007.jpg
case_images: fig7
case_images: She promptly underwent a sonogram (Figures 6 and 7) and mammogram that revealed a heterogeneous breast, and corresponding to the palpable abnormality was a large complex cystic mass measuring 2.7 x 2.4 x 2.6 cm with a thick wall with enhanced through transmission and some internal vascularity.
case_images: MRI left breast.
case_images: CRIONM2019-4307281.008.jpg
case_images: PMC6766669_02_CRIONM2019-4307281.008.jpg
case_images: fig8
case_images: MRI bilateral breasts showed an enhancing mass of maximal dimension of 1.7 cm and subtle asymmetric left axillary tail lymph node 1.4 x 0.9 cm (Figure 8).
case_images: Cells with sarcomatoid differentiation.
case_images: CRIONM2019-4307281.009.jpg
case_images: PMC6766669_02_CRIONM2019-4307281.009.jpg
case_images: fig9
case_images: Lymph node biopsy:lymphocyte aggregates and adjacent tumor cells.
case_images: CRIONM2019-4307281.010.jpg
case_images: PMC6766669_02_CRIONM2019-4307281.010.jpg
case_images: fig10