Primary Diffuse Large B-Cell Lymphoma of Breast: A Rare Form of Gestational Breast Cancer

Primary diffuse large B cell lymphoma of the breast is an uncommon form of gestational breast cancer and its presentation during pregnancy is challenging. In our case report, a patient presented with a right breast lump during the first trimester of her pregnancy. Biopsy was taken from right brea...

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Main Authors: Yumna Ahmed, Fatima Shaukat, Agha Muhammad Hammad Khan, Rabia Tahseen, Maria Tariq, Sehrish Abrar, Nasir Ali
Format: Article
Language:English
Published: Liaquat National Hospital and Medical College 2022-06-01
Series:Liaquat National Journal of Primary Care
Subjects:
Online Access:https://journals.lnh.edu.pk/lnjpc/pdf/f1c09ee7-d9f9-4047-bec0-b88244647317.pdf
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author Yumna Ahmed
Fatima Shaukat
Agha Muhammad Hammad Khan
Rabia Tahseen
Maria Tariq
Sehrish Abrar
Nasir Ali
author_facet Yumna Ahmed
Fatima Shaukat
Agha Muhammad Hammad Khan
Rabia Tahseen
Maria Tariq
Sehrish Abrar
Nasir Ali
author_sort Yumna Ahmed
collection DOAJ
description Primary diffuse large B cell lymphoma of the breast is an uncommon form of gestational breast cancer and its presentation during pregnancy is challenging. In our case report, a patient presented with a right breast lump during the first trimester of her pregnancy. Biopsy was taken from right breast mass, which was diffuse large b cell lymphoma (DLBCL) double expressive type. She underwent termination of pregnancy and received 6 cycles of multiagent intense chemotherapy along with central nervous system prophylaxis followed by consolidation involved site radiotherapy (ISRT) to breast and axilla after achieving a complete response. Studies suggest no improvement in the outcome of gestational breast cancer with the termination of pregnancy. However, the presentation of primary DLBCL during pregnancy is extremely rare and the decision regarding pregnancy termination is weighted upon a case by case basis. The paucity of data makes our case report a valuable source for the management of DLBCL breast in pregnancy.
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spelling doaj.art-1abe2c6bd5fa484490d3a6aebfb42a322022-12-22T03:31:44ZengLiaquat National Hospital and Medical CollegeLiaquat National Journal of Primary Care2707-35212708-91342022-06-01416971https://doi.org/10.37184/lnjpc.2707-3521.4.4Primary Diffuse Large B-Cell Lymphoma of Breast: A Rare Form of Gestational Breast CancerYumna Ahmed0Fatima Shaukat1Agha Muhammad Hammad Khan2Rabia Tahseen3Maria Tariq4Sehrish Abrar5Nasir Ali6Department of Radiation Oncology, Aga Khan University Hospital, Karachi, PakistanDepartment of Radiation Oncology, CyberKnife and Tomotherapy Unit, Jinnah Postgraduate Medical Center, Karachi, PakistanDepartment of Radiation Oncology, Aga Khan University Hospital, Karachi, PakistanDepartment of Radiation Oncology, Aga Khan University Hospital, Karachi, PakistanDepartment of Radiation Oncology, Aga Khan University Hospital, Karachi, PakistanDepartment of Radiation Oncology, Aga Khan University Hospital, Karachi, PakistanDepartment of Radiation Oncology, Aga Khan University Hospital, Karachi, PakistanPrimary diffuse large B cell lymphoma of the breast is an uncommon form of gestational breast cancer and its presentation during pregnancy is challenging. In our case report, a patient presented with a right breast lump during the first trimester of her pregnancy. Biopsy was taken from right breast mass, which was diffuse large b cell lymphoma (DLBCL) double expressive type. She underwent termination of pregnancy and received 6 cycles of multiagent intense chemotherapy along with central nervous system prophylaxis followed by consolidation involved site radiotherapy (ISRT) to breast and axilla after achieving a complete response. Studies suggest no improvement in the outcome of gestational breast cancer with the termination of pregnancy. However, the presentation of primary DLBCL during pregnancy is extremely rare and the decision regarding pregnancy termination is weighted upon a case by case basis. The paucity of data makes our case report a valuable source for the management of DLBCL breast in pregnancy.https://journals.lnh.edu.pk/lnjpc/pdf/f1c09ee7-d9f9-4047-bec0-b88244647317.pdfgestational breast cancerradiotherapylymphomadouble expressorpregnancy
spellingShingle Yumna Ahmed
Fatima Shaukat
Agha Muhammad Hammad Khan
Rabia Tahseen
Maria Tariq
Sehrish Abrar
Nasir Ali
Primary Diffuse Large B-Cell Lymphoma of Breast: A Rare Form of Gestational Breast Cancer
Liaquat National Journal of Primary Care
gestational breast cancer
radiotherapy
lymphoma
double expressor
pregnancy
title Primary Diffuse Large B-Cell Lymphoma of Breast: A Rare Form of Gestational Breast Cancer
title_full Primary Diffuse Large B-Cell Lymphoma of Breast: A Rare Form of Gestational Breast Cancer
title_fullStr Primary Diffuse Large B-Cell Lymphoma of Breast: A Rare Form of Gestational Breast Cancer
title_full_unstemmed Primary Diffuse Large B-Cell Lymphoma of Breast: A Rare Form of Gestational Breast Cancer
title_short Primary Diffuse Large B-Cell Lymphoma of Breast: A Rare Form of Gestational Breast Cancer
title_sort primary diffuse large b cell lymphoma of breast a rare form of gestational breast cancer
topic gestational breast cancer
radiotherapy
lymphoma
double expressor
pregnancy
url https://journals.lnh.edu.pk/lnjpc/pdf/f1c09ee7-d9f9-4047-bec0-b88244647317.pdf
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