Nakane Takahiko, Yamane Takahisa, Shibata Hisako, Aoyama Yasutaka, Hasegawa Taro, Sakamoto Chikahiko, Nakamae Hirohisa, Terada Yoshiki, Ohta Kensuke, Hino Masayuki
Clinical Hematology and Clinical Diagnostics, Osaka City University, Graduate School of Medicine.
Rinsho Ketsueki. 2003 Nov;44(11):1107-9.
A 56-year-old woman noticed soreness and swelling in the right nipple. Two weeks later, she noticed a mass in the outer lower region of the right areolar area, which was excised and the pathology of which was consistent with diffuse large B cell lymphoma (DLBCL). She was admitted when the right nipple mass was noted to be increasing, and was diagnosed as having stage I lymphoma. Her nipple mass was excised, and the pathology was consistent with DLBCL. CHOP therapy was administered three times and she was judged as having complete remission. Malignant lymphoma accounts for 0.15-0.17% of primary breast malignancies. Though the nipple and areolar area seem to be a rare primary site, this should be recognized as a sentinel zone for malignant lymphoma.
一名56岁女性注意到右侧乳头有疼痛和肿胀。两周后,她发现右侧乳晕区域外下象限有一个肿块,该肿块被切除,其病理结果与弥漫性大B细胞淋巴瘤(DLBCL)一致。当发现右侧乳头肿块增大时,她入院治疗,被诊断为I期淋巴瘤。她的乳头肿块被切除,病理结果与DLBCL一致。给予CHOP方案化疗3次,判断为完全缓解。恶性淋巴瘤占原发性乳腺恶性肿瘤的0.15 - 0.17%。虽然乳头和乳晕区域似乎是罕见的原发部位,但应将其视为恶性淋巴瘤的前哨区域。