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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}uhb.nhs.uk

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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 http://virtualacp.com/JCPCases/jclinpath-2018-205079/ 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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