Solid papillary breast carcinoma is a rare type of breast carcinoma. We present four cases which highlight the
radiological and histological findings of solid papillary carcinoma. Mammogram supplemented with ultrasound
played an important role in detecting solid papillary carcinomas which usually presents as intraductal lesions or
intracystic mass with Doppler signal. Excision biopsy is a better option than core biopsy as the latter modality
may not be representative and the diagnosis of solid papillary breast carcinoma may be missed.