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Background  Lobular carcinoma in accessory breast tissue is a rare occurrence. We present such a case in a 61-year-old woman.    Case presentation  A skin nodule in the axillary skin on excision biopsy revealed invasive lobular carcinoma.    Conclusions  Carcinoma in accessory breast tissue is uncommon especially invasive lobular type. A high index of suspicion may avoid late diagnosis.

Invasive lobular carcinoma arising in accessory breast tissue