Breast carcinoma masquerading as basal cell carcinoma of the nipple

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Breast carcinoma masquerading as basal cell carcinoma of the nipple Jessica Moennich, MD, Richard Ort, MD, Whitney High, MEng, JD, MD, Mariah Brown, MD JAAD Case Reports Volume 1, Issue 6, Pages 361-363 (November 2015) DOI: 10.1016/j.jdcr.2015.08.008 Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Original shave biopsy section shows basaloid islands. JAAD Case Reports 2015 1, 361-363DOI: (10.1016/j.jdcr.2015.08.008) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Clinical appearance at the time of presentation for Mohs surgery with a 7-mm erosion of the nipple. JAAD Case Reports 2015 1, 361-363DOI: (10.1016/j.jdcr.2015.08.008) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Mohs frozen sections show atypical cells not consistent with the histologic appearance of BCC. JAAD Case Reports 2015 1, 361-363DOI: (10.1016/j.jdcr.2015.08.008) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 A, Hematoxylin-eosin stained section of re-excision specimen with invasive atypical ductal structures consistent with breast carcinoma. B, Ber-Ep4–stained section of re-excision specimen shows positive staining. C, HER2-neu–stained section of re-excision specimen shows positive staining. JAAD Case Reports 2015 1, 361-363DOI: (10.1016/j.jdcr.2015.08.008) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions