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Scrape cytology of the nipple revealed class V, leading to the suspicion of Paget disease.The mammogram showed microcalcification in the right breast tissue.However,neither ultrasonogram nor palpation could detect any tumor there. It was diagnosed as non-invasive ductal carcinoma and modified mastectomy was performed. Breast cancer was localized to the nipple and no malignant cells were revealed in the breast tissue pathologically. 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