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Intracystic papillary carcinoma breast is an uncommon breast cancer consisting of 0.5%–1.0% of all breast cancers. Papillary carcinoma is a rare type of breast carcinoma which is divided into two types, which are intraductal and intracystic papillary carcinoma. Intracystic papillary carcinoma may present as pure intracystic carcinoma or may be associated with in situ carcinoma. Here, we report a case of intracystic papillary carcinoma of both breasts which created diagnostic dilemma.