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Metaplastic Carcinoma of the Breast: Clinical, Mammographic, and Sonographic Findings with Histopathologic Correlation

Isil Günhan-Bilgen1, Aysenur Memis1, Esin Emin Üstün1, Osman Zekioglu2 and Necmettin Özdemir2

1 Department of Radiology, Ege Üniversity Hospital, Bornova, 35100 Izmir, Turkey.
2 Department of Pathology, Ege Üniversity Hospital, 35100 Izmir, Turkey.



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Fig. 1A. 53-year-old woman with a rapidly growing 5-cm palpable left breast mass and bloody nipple discharge. Craniocaudal mammogram shows 4.5-cm high-density mass in left inner hemisphere. Posterior margin (small arrow) of mass is ill-defined, whereas anterior margin (large arrow) is obscured by fibroglandular tissue and cannot be defined.

 


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Fig. 2A. 48-year-old woman with 2-cm, firm, mobile, and palpable left breast mass. Mediolateral oblique mammogram shows microlobulated, 2-cm round mass (arrows).

 


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Fig. 3A. 63-year-old woman with 2-cm palpable left breast mass. Craniocaudal mammogram shows microlobulated, round mass (arrows).

 


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Fig. 3B. 63-year-old woman with 2-cm palpable left breast mass. Microlobulation of margins is better shown on spot mammogram.

 


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Fig. 2B. 48-year-old woman with 2-cm, firm, mobile, and palpable left breast mass. Transverse sonogram shows round, solid mass with homogeneous echogenicity and microlobulated margins (arrow).

 


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Fig. 3C. 63-year-old woman with 2-cm palpable left breast mass. Transverse sonogram shows microlobulated hypoechoic solid mass.

 


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Fig. 1B. 53-year-old woman with a rapidly growing 5-cm palpable left breast mass and bloody nipple discharge. Transverse sonogram shows mass with irregular margins and heterogenous echogenicity. Mass has both solid (small arrow) and cystic (large arrow) components.

 


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Fig. 2C. 48-year-old woman with 2-cm, firm, mobile, and palpable left breast mass. Photomicrograph shows mammarian ductulus on left side. On right side, metaplastic breast carcinoma and squamous cell groups can be seen. (H and E, x200)

 


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Fig. 2D. 48-year-old woman with 2-cm, firm, mobile, and palpable left breast mass. Photomicrograph shows squamous differentiation areas in metaplastic breast carcinoma. (H and E, x400)

 


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Fig. 3D. 63-year-old woman with 2-cm palpable left breast mass. Photomicrograph shows admixture of cohesive carcinoma cells and malignant stromal spindle cells. (H and E, x200)

 


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Fig. 3E. 63-year-old woman with 2-cm palpable left breast mass. Photomicrograph shows spindle cells in metaplastic carcinoma. (H and E, x400)

 

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