A 45-year-old woman presents with a rapidly enlarging breast mass that is approximately twice the size of the opposite breast and has an irregular, nodular surface on gross examination. Histology shows a leaf-like pattern with increased stromal cellularity and stromal atypia. However, the mitotic index is low, with no significant stromal overgrowth or tumor necrosis. Which of the following is the most likely diagnosis?

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NBE does not officially release NEET PG papers per the 2025 Supreme Court directive. This question was reconstructed from 1 community source: Collegedunia NEET PG 2026 Memory-Based Paper. Cross-verified by Claude Haiku 4.5 + Gemini 2.5 Flash + community-aggregate vote, then reviewed by a practising medical SME.

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