Invasive lobular breast carcinoma


Based on the sonomammographic findings, features are in favor of a malignant etiology and the right breast was categorized as BI-RADS V suggesting biopsy/surgical removal.

Patient underwent mastectomy and histopathology revealed cells which are moderately pleomorphic plasmacytoid with coarse chromatin and inconspicuous nucelolus. Numerous cells reveal intracytoplasmic vacuoles. Features suggestive of pleomorphic lobular carcinoma. 

Operation revealed only one sentinel node.