Abstract
We report identical female twins who had breast cancer exhibiting the same biological features. The elder twin developed a left breast mass. She was diagnosed with left breast cancer. An operation was performed, and on pathology, a mucinous carcinoma with nuclear grade 2, positive hormonal receptor, and low expression of HER2 protein was found. No sentinel lymph node metastases were detected. The younger twin also developed a left breast mass. She was also diagnosed with left breast cancer. An operation was performed, and on pathology, a mucinous carcinoma with the same biological features as the elder twin's was diagnosed.