Good morning, my colleagues:

This is an interesting case of breast lesion.  I would like to share with you for educational purpose.  My fellow and I will publish a short review of this entity in the future issue of Archives of Pathology and Laboratory Medicine. 

This is a 54-year-old female with history of breast nodule measuring 2.5 x 2 x 1.8 cm.  Skin over the nodule shows crusting and ulceration.  Mammography demonstrates a mass in the subareolar region with dense and irregular outline, spicular formation and foci of microcalcifications. Ultrasonography shows an ill-defined mass with heterogeneous internal echoes. Radiographic findings suggest malignancy.