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Volume 4, Issue 4, Pages 392-395 (May 2018) An unusual case of metastatic breast carcinoma metastasizing to an antecedent rhytidectomy procedural scar Stella X. Chen, BS, Nicole Lum, BS, Selena Y. Chen, BS, Brian R. Hinds, MD, Tissa R. Hata, MD JAAD Case Reports Volume 4, Issue 4, Pages 392-395 (May 2018) DOI: 10.1016/j.jdcr.2017.10.022 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Papular lesion within an atrophic postsurgical scar at the postauricular border. JAAD Case Reports 2018 4, 392-395DOI: (10.1016/j.jdcr.2017.10.022) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 A 3-mm punch biopsy showing an aggregate of atypical epithelioid cells (right) enmeshed in dense fibrosis (left) demonstrates a theque-like arrangement. (Hematoxylin-eosin stain; original magnification: ×100.) JAAD Case Reports 2018 4, 392-395DOI: (10.1016/j.jdcr.2017.10.022) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 A 3-mm punch biopsy showing constituent tumor cells displaying moderately abundant amphophilic cytoplasm with high-grade nuclear features, namely hyperchromasia, prominent nucleoli, and nucleomegaly. (Hematoxylin-eosin stain; original magnification: ×400.) JAAD Case Reports 2018 4, 392-395DOI: (10.1016/j.jdcr.2017.10.022) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions