Metastatic adenoid cystic carcinoma to the dermis and subcut
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A 65-year-old female presented to the breast care facility with a two-month history of a painful, palpable mass on the lateral aspect of her right breast, and a history of T3N0, stage III, adenoid cystic carcinoma (ACC) of the submandibular salivary gland with metastasis to the right lung. The patient stated the pain was episodic, sharp, and shooting with radiation along the lateral aspect of her right breast. She denied nipple discharge, nipple retraction, or skin dimpling. She had a previous history of atypical ductal and lobular hyperplasia and intraductal papilloma of the right breast. Physical examination showed a tender, 1 cm raised, superficial nodule located at the 9 o’clock axis of the right breast, along with the anterior axillary line. There was no evidence of masses elsewhere in the breast, nipple retraction, nipple discharge, skin dimpling, or architectural distortion. Left breast abnormalities were not present.

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