Fig. 2From: Metaplastic carcinoma of the breast with squamous differentiation: prognostic factors and multidisciplinary treatmentCase Nº1. surgery. A Ulcerated axillary tumoral mass of 12 cm. B Skin-sparing mastectomy and wide tumor resection, although leaving an irresectable tumor residue, which infiltrated the axillary vein, latissimus dorsi and right brachial plexus. C Macroscopic study of the surgical specimen: large ulcerated axillary tumor (12 × 10 cm), grayish-whitish in color with multiple necrotic and friable reddish areas, deep margin extensively involved. Dense breast parenchyma with multiple cysts; in the upper region, two adjacent zones of greater density of 3 and 2 cm that include metallic filament, free margins. D Close rotation myocutaneous flap of the latissimus dorsiBack to article page