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The pathologic diagnosis was 3.5 cm-sized adenocarcinoma with micropapillary component, and the pathologic stage of lung cancer was T2a N0M0, stage IB.Mammography revealed only a focal asymmetry in left upper breast and benign calcifications in both breasts (Figure A).Clinically, primary breast cancer was suspected, and the patient underwent lumpectomy and sentinel lymph node biopsy using radio-isotope and indigocarmine dye.Gross examination of the specimen revealed an irregular shaped whitish fibronodular lesion, measuring 1.3 × 1 cm in size (Figure A).

(A) Gross findings of the specimen showed an irregular shaped whitish fibronodular lesion.There were no ductal components and carcinoma in situ lesions.There were lymphovascular invasion and some microscopic multiple tumor foci, but resection margins were free from tumor.Initial histologic findings revealed proliferation of micropapillae of anaplastic cells in the clear spaces which were consistent with invasive micropapillary carcinoma of the breast (Figure ).Magnetic resonance imaging of the breast showed no significantly enhancing lesion in both breast.

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The institutional review board at Daegu Catholic University Hospital granted an exemption from requiring ethics approval for this study.

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