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Adenoid cystic carcinoma (ACC) is a basal-like subtype of mammary cribriform, solid, tubular, or trabecular architectural patterns. Epithelial and myoepithelial components make up the distinctive histologic pattern of ACC of the breast, which is like a well-known tumor with the same nomenclature that originates in the salivary gland. In this report, we describe a rare case of ACC in the breast cribriform, trabecular growth pattern. Here we present a rare case of breast adenoid cystic carcinoma with a cribriform, trabecular growth pattern. Imaging studies are nonetheless extremely useful in ACC cases for screening and management planning but might be non-specific due to their variable imaging characteristics. The standard reference is pathological examination. Even though the pathological classification of ACC is still controversial, it is critically important in the decision of treatment options. However, the primary form of therapy for breast ACC patients is currently understood to be surgery. Because this pathological type is so uncommon, there is no clear direction in the selection of specific surgical treatments for this condition, which leads to variations in therapy.
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