Abstract
A 45-year-old female came to our attention with a 6-month history of ulcerative mass in her right breast, cough, shortness of breath, nasal obstruction with hematic discharge, and hearing loss. The patient underwent excision biopsy of breast lesion. Definitive pathology (Figure A) documented the presence of a granulomatous mastitis with suppurative necrotic foci (*), giant multinucleated cells (circles), and normal breast ducts trapped by neutrophilic-eosinophilic infiltrate (arrowheads).
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