Primary lymphoma of the breast: A case report and review of the literature

Primary lymphoma of the breast is a rare disease, accounting for about 0.5% of all primary breast tumors. Often found as a solitary indolent mass, it is difficult to distinguish from breast cancer on imaging and is often diagnosed for the first time based on histological findings. Diffuse large B-ce...

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Main Authors: Kimiyasu Yoneyama, MD, Motohito Nakagawa, MD,PhD, Asuka Hara, MD
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043320305574
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author Kimiyasu Yoneyama, MD
Motohito Nakagawa, MD,PhD
Asuka Hara, MD
author_facet Kimiyasu Yoneyama, MD
Motohito Nakagawa, MD,PhD
Asuka Hara, MD
author_sort Kimiyasu Yoneyama, MD
collection DOAJ
description Primary lymphoma of the breast is a rare disease, accounting for about 0.5% of all primary breast tumors. Often found as a solitary indolent mass, it is difficult to distinguish from breast cancer on imaging and is often diagnosed for the first time based on histological findings. Diffuse large B-cell lymphoma is the most common histological subtype. A 48-year-old woman visited our hospital because of a painless mass in the left breast. Breast cancer was suspected based on the imaging findings. A core needle biopsy was performed, and the invasive ductal carcinoma was diagnosed. Partial mastectomy and sentinel lymph node biopsy were performed. The resected specimen was finally diagnosed as diffuse large B-cell lymphoma based on immunohistochemical staining. The patient was treated with R-CHOP and intrathecal injection of methotrexate. The patient remains alive without recurrence 4 years later. Awareness of primary breast lymphoma is essential for accurate and timely diagnosis and avoidance of unnecessary surgery.
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spelling doaj.art-2eccbad876b947b08ec8ee8b75ff6c2e2022-12-21T19:04:14ZengElsevierRadiology Case Reports1930-04332021-01-011615561Primary lymphoma of the breast: A case report and review of the literatureKimiyasu Yoneyama, MD0Motohito Nakagawa, MD,PhD1Asuka Hara, MD2Corresponding author.; Department of Breast Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka-shi, Kanagawa 254-0065, JapanDepartment of Breast Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka-shi, Kanagawa 254-0065, JapanDepartment of Breast Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka-shi, Kanagawa 254-0065, JapanPrimary lymphoma of the breast is a rare disease, accounting for about 0.5% of all primary breast tumors. Often found as a solitary indolent mass, it is difficult to distinguish from breast cancer on imaging and is often diagnosed for the first time based on histological findings. Diffuse large B-cell lymphoma is the most common histological subtype. A 48-year-old woman visited our hospital because of a painless mass in the left breast. Breast cancer was suspected based on the imaging findings. A core needle biopsy was performed, and the invasive ductal carcinoma was diagnosed. Partial mastectomy and sentinel lymph node biopsy were performed. The resected specimen was finally diagnosed as diffuse large B-cell lymphoma based on immunohistochemical staining. The patient was treated with R-CHOP and intrathecal injection of methotrexate. The patient remains alive without recurrence 4 years later. Awareness of primary breast lymphoma is essential for accurate and timely diagnosis and avoidance of unnecessary surgery.http://www.sciencedirect.com/science/article/pii/S1930043320305574Primary breast lymphomaBreastImmunohistochemistry
spellingShingle Kimiyasu Yoneyama, MD
Motohito Nakagawa, MD,PhD
Asuka Hara, MD
Primary lymphoma of the breast: A case report and review of the literature
Radiology Case Reports
Primary breast lymphoma
Breast
Immunohistochemistry
title Primary lymphoma of the breast: A case report and review of the literature
title_full Primary lymphoma of the breast: A case report and review of the literature
title_fullStr Primary lymphoma of the breast: A case report and review of the literature
title_full_unstemmed Primary lymphoma of the breast: A case report and review of the literature
title_short Primary lymphoma of the breast: A case report and review of the literature
title_sort primary lymphoma of the breast a case report and review of the literature
topic Primary breast lymphoma
Breast
Immunohistochemistry
url http://www.sciencedirect.com/science/article/pii/S1930043320305574
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