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12 May 2025 : Case report  USA

Managing Necrotizing Soft-Tissue Infection in Breast Cancer: A Case of Emergency Toilet Mastectomy

Management of emergency care, Rare disease

Jessica J. Farzan ABCDEF 1*, Jiddu A. Guart ABCDEF 1, Nichita Kulkarni DE 1, Sarah Roberts DE 1, Gabriel De la Cruz-Ku ORCID logo DE 1,2, Donald R. Czerniach E 1, Kate H. Dinh AEF 1

DOI: 10.12659/AJCR.946669

Am J Case Rep 2025; 26:e946669

Figure 5 Histopathology of invasive ductal carcinoma (IDC) with skin ulceration: (A) 10× objective (100× total magnification) showing skin ulceration and necrosis of the epidermis (most visible on right side of the figure) associated with IDC. The figure demonstrates a disrupted epidermal layer with underlying tumor infiltration. Irregular nests and cords of malignant cells are seen invading the dermis, accompanied by a desmoplastic stromal reaction and inflammatory infiltrate. (B) 40× objective (400× total magnification) of the tumor cells, revealing key cytological features of IDC. The figure shows pleomorphic tumor cells with enlarged, hyperchromatic nuclei, prominent nucleoli, and increased mitotic activity. The cells display a loss of normal ductal architecture, forming solid nests or sheets. Cytoplasm is abundant and eosinophilic.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923