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Immunohistochemical staining of the left breast tumor after lumpectomy.

(A) GCDFP-15 stain was negative in malignant cells (×400). (C) CK-7 stain was positive in malignant cells (×400).

Ultrasonography revealed two irregular shaped and microlobulated hypoechoic small masses in left upper breast, which was categorized according to Breast Imaging Report and Data System (BI-RADS) as BI-RADS 4C (Figure B).

The patient underwent ultrasound-guided core needle biopsy.

She underwent left breast lumpectomy and sentinel lymph node biopsy, and the histologic findings revealed micropapillary carcinoma.

Histologic findings of the left breast tumor after lumpectomy.

(A) Gross findings of the specimen showed an irregular shaped whitish fibronodular lesion.

Breast metastasis from extramammary malignancy is uncommon and often presents diagnostic challenges.

Herein, we report a case of a patient with metachronous isolated breast metastasis from pulmonary adenocarcinoma with micropapillary component.

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