Rare case of benign epidermal inclusion cyst mimicking malig
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This case presents a 42-year-old female complaining of right nipple swelling, palpable mass, and non-bloody nipple discharge. The patient reported a history of bilateral breast reduction and no family history of breast cancer. The subareolar location of the patient’s swelling and mass complicated diagnosis by limiting physical exam. A diagnostic mammogram revealed a 3.8 cm mass with macrolobulated and partially obscured borders. Ultrasound demonstrated a solid ovoid mass. Radiologic imaging of this breast lesion could not exclude malignancy, resulting in BI-RADS 4a classification. Given the suspicious features of this lesion and the clinical context, subsequent fine needle aspiration was performed and showed squamous epithelium with abundant basket weave keratin.

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