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BREAST CYTOPATHOLOGY

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Special Types of Breast Carcinomas 115

Figure 4.36. Medullary carcinoma. Pleomorphic naked nuclei

with macronucleoli and rare background lymphocytes. Primary

breast carcinomas most often lack macronucleoli with the exception

of the rare medullary carcinoma and apocrine carcinoma. (Smear,

Diff-Quik.)

Figure 4.37. Medullary carcinoma. A syncytial fragment of pleomorphic

malignant cells. Few lymphocytes are visible closely adhering

to the fragment. There is a total lack of glandular differentiation

in these tumors. (Smear, Papanicolaou.)

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