Intracystic papillary carcinoma (IPC) of the breast is a rare malignant tumour, found mainly but not exclusively in elderly women. IPC may be asymptomatic or presents with a palpable mass or blood-stained nipple discharge. Radiologic manifestations of IPC are not specific. On ultrasonography, it can be a pure cyst, a mixed image, or a solid mass. Histologic features of the tumor include cellular proliferations surrounding fibrovascular cores, with or without invasion. The mainstay of treatment is breast-conserving surgery or mastectomy. Sentinel node biopsy could be considered in invasive cases. Adjuvant radiotherapy and/or endocrine therapy is considered in appropriate cases. Through the observation of a 58-year-old patient, we report the epidemiological, clinical and radiological data of papillary breast carcinoma.