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<ul><li><strong>Specimen:</strong> Skin ellipses.</li><li><strong>Histologic Type:</strong> Invasive carcinoma of no special type (NST) / Invasive ductal carcinoma</li><li><strong>Histologic Grade (Nottingham Histologic Score):</strong> Grade 2</li><li><strong>Tumor Extension:</strong> Tumor extends into the dermis of the skin; no epidermal invasion is identified</li><li><strong>Margins:</strong> Cannot be assessed (due to the fragmented nature of the received specimen)</li><li><strong>Lymphovascular Invasion (LVI):</strong> Present</li><li><strong>Perineural Invasion (PNI):</strong> Not identified</li></ul>
<p class="ql-align-justify">The patient presents with a left breast mass accompanied by nipple retraction and multiple nodular skin lesions over the breast that are suspected to be metastases.</p>
<p class="ql-align-justify">Received two skin ellipses measuring 1.8 x 1.5 x 0.7 cm in aggregate.</p>
<p><strong><em><u>Left breast skin nodules, excision biopsy:</u></em></strong></p><ul><li><strong>Invasive carcinoma of no special type (invasive ductal carcinoma), grade 2, involving the dermis with lymphovascular invasion.</strong></li></ul>
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