ABSTRACT
This is a case report of a 7 years old female patient diagnosed to have secretory carcinoma of the breast and secondary axillary lymph nodes metastasis after she presented with compliant of left breast swelling that lasted for about 6 months. It is a rare ( 1) type of breast carcinoma with distinct histologic features. Diagnosis of this carcinoma at fine needle aspiration cytology (FNAC) is quite difficult and it is not a particularly aggressive tumor with excellent prognosis even in the presence of metastasis. Axillary locoregional lymph node metastases are uncommon. Several authors; therefore; recommend a conservative and non-aggressive treatment as much as possible. In her case; modified radical mastectomy with level II axillary dissection was done without hormonal or chemotherapy. So far; the therapeutic approach tends to be fairly flexible