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Case Report
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| ‘Wallpaper paste sign’ of mucinous breast carcinoma | ||||||
| Muhammad Asad Parvaiz1, Brian Isgar2, Nedra Aluwihare3 | ||||||
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1Specialty Doctor, Department of Breast Surgery, The Royal Wolverhampton NHS Trust, Wolverhampton, WV10 0QP, UK.
2Consultant Surgeon, Department of Breast Surgery, The Royal Wolverhampton NHS Trust, Wolverhampton, WV10 0QP, UK. 3Consultant Histopathologist, Department of Histopathology, The Royal Wolverhampton NHS Trust, Wolverhampton, WV10 0QP, UK. | ||||||
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| How to cite this article: |
| Parvaiz MA, Isgar B, Aluwihare N. ‘Wallpaper paste sign’ of mucinous breast carcinoma. International Journal of Case Reports and Images 2013;4(10):551–553. |
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Abstract
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Introduction:
Mucinous carcinoma of the breast is an uncommon disease, characterized by a large amount of mucin production. Histologically, it is classified into two subgroups— pure type and mixed type. It usually affects postmenopausal women and is commonly associated with good prognosis.
Case Report: We present a case of a 53-year-old female with a palpable breast lump which was clinically as well as radiologically suspicious of breast cancer. A free hand needle core biopsy was carried out. The biopsy material retrieved had a distinctive gross appearance, with soft, gelatinous consistency and a glistening clear surface. On this typical macroscopic appearance, a diagnosis of ‘mucinous breast carcinoma’ was made, which was subsequently confirmed on histological examination. The typical gross appearance of specimen on needle core biopsy is similar to the appearance of wallpaper paste; hence we describe it as ‘wallpaper paste sign’. Conclusion: The hallmark of mucinous carcinoma is extracellular mucin production that gives it a typical glistening macroscopic appearance. Keeping in mind the ‘wallpaper paste sign’ we describe, mucinous breast carcinoma can be diagnosed on patient’s first visit to the breast clinic on gross inspection of the needle core biopsy specimen. | |
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Keywords:
Mucinous breast carcinoma, Wallpaper paste sign, Extracellular mucin, Core biopsy
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Author Contributions
Muhammad Asad Parvaiz – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Brian Isgar – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published Nedra Aluwihare – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Muhammad Asad Parvaiz et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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