CASE 1

Clinical history: A 45-year-old patient discovers a 1 cm large lump in her right breast. Fourteen years ago, she underwent breast augmentation with silicon prosthesis implant.

Breast imaging: On mammography, presence of a 1 cm mass suspicious for malignancy under the right nipple. A differential diagnosis with a silicon granuloma was suggested. The same area shows a 2 cm large spot on MRI.

Surgery: Lumpectomy for diagnosis with gross margin of at least 1 cm around palpable tumor.

Pathology: Invasive lobular carcinoma 1.8 cm, totally removed.

Demonstrated slide: Representative sample of the margin with inked surgical edge.