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adenoid cystic carcinoma adenoma American Journal apocrine appearance atypical Azzopardi benign bilateral biopsy breast cancer breast carcinoma calcification carcinosarcoma cell types cent cinoma clinging carcinoma Clinical Pathology CLIS connective tissue contralateral cribriform cystic disease cystosarcoma phyllodes cysts cytoplasm DCIS diagnosis differentiation distinct duct ectasia ductal carcinoma elastic tissue elastosis epithelial cells epitheliosis epithelium evidence excision fibroadenoma fibrosis Figure Fisher foci frequently glands gynaecomastia Haagensen 1971 histological incidence infiltrating carcinoma inflammatory carcinoma intraductal carcinoma invasive carcinoma Journal of Clinical Journal of Pathology lesion lobular carcinoma lobules lumina lymph nodes malignant mammary mammography McDivitt medullary carcinoma metastases microscopic mucin myoepithelial cells necrosis neoplastic nipple Norris and Taylor nuclei Paget's disease pagetoid spread papillary carcinoma papilloma pathologist patients pattern periductal present prognosis rare recurrence reported sarcoma sclerosing adenosis seen signet-ring cell squamous carcinoma Stewart and Berg stroma structures Surgery tubular ultrastructural usually variant workers writer