Lobular carcinoma breast -- a very atypical clinical and cytological presentation.

Lobular carcinoma of breast may present with very atypical clinical features. Atypical signs or symptoms due to metastasis to central nervous system may be the 1st sign of clinical presentation. Here a case of a 30 years old female is reported who presented with features of Bell's palsy progressing to cranial polyneuropathy. On thorough clinical examination she had only a small breast nodule. Magnetic resonance imaging of brain showed erosion of the base of skull. The nodule was aspirated two times, and it came out to be fibro-adenoma until a excision biopsy was done which proved it to be lobular carcinoma. The patient was treated with palliative radiation and she improved considerably measured in terms of adjustment daily life (ADL) score.