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Fig. 6A —53-year-old woman with multiple papillomas found on screening mammography. Left mediolateral oblique mammogram shows spiculated mass (arrow) in subareolar region. Sonogram of left breast (not shown) showed irregular hypoechoic mass. Fine-needle aspiration biopsy (not shown) revealed benign epithelial cells. Because imaging findings were suggestive of malignant lesion, excisional biopsy was performed.