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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 http://virtualacp.com/JCPCases/jclinpath-2018-205079/ and consider your diagnosis.
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DCIS in axillary breast tissue with dense lymphocytic infiltrate
Metastatic carcinoma of the breast with DCIS-like morphology
Primary carcinoma in axillary tail breast tissue
Primary carcinoma arising in ectopic breast tissue in the axillary node
Primary invasive carcinoma with DCIS and lymphocytic infiltrate
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