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Rare morphological appearance of breast carcinoma
  1. Maiar Elghobashy1,
  2. Abeer M Shaaban2
  1. 1 College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
  2. 2 Queen Elizabeth Hospital Birmingham and University of Birmingham, Birmingham, UK
  1. Correspondence to Dr Abeer M Shaaban, Queen Elizabeth Hospital Birmingham and University of Birmingham, Birmingham, B15 2WB, UK; abeer.shaaban{at}

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Clinical question

This is a case of an elderly woman who presented symptomatically and on examination was found to have a multifocal breast cancer. An ultrasound-guided axillary node biopsy was carried out.

Review the high-quality, interactive digital Aperio slide at and consider your diagnosis.

What is your diagnosis?

  1. DCIS in axillary breast tissue with dense lymphocytic infiltrate

  2. Metastatic carcinoma of the breast with DCIS-like morphology

  3. Primary carcinoma in axillary tail breast tissue

  4. Primary carcinoma arising in ectopic breast tissue in the axillary node

  5. Primary invasive carcinoma with DCIS and lymphocytic infiltrate

The …

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  • Handling editor Iskander Chaudhry.

  • Contributors ME searched the literature and wrote the first draft. AMS diagnosed and selected the case. Both authors contributed to the writing up and approval of the final manuscript.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.