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两例女性乳腺原发性非霍奇金淋巴瘤:细针穿刺细胞学检查及细胞块免疫组织化学的作用

Two cases of primary non-Hodgkin's lymphoma of female breast: Role of fine-needle aspiration cytology and cell-block immunohistochemistry.

作者信息

Banik Tarak, Mondal Krishnendu, Mandal Rupali

机构信息

Department of Pathology, Malda Medical College, West Bengal University of Health Sciences, Malda, West Bengal, India.

出版信息

Diagn Cytopathol. 2016 Mar;44(3):235-40. doi: 10.1002/dc.23409. Epub 2015 Dec 21.

Abstract

Primary breast lymphoma (PBL) is an uncommon neoplastic condition. Though HIV-infection is a known risk factor for the development of extranodal lymphomas, mammary involvement is still a rarity. Radiologically, PBL appears as well circumscribed, heteroechoic, noncalcifying mass. Fine-needle aspiration cytology (FNAC) is commonly used to diagnose this neoplasm; however, subcategorization requires immunophenotypic characterization of the neoplastic cells. Herein, we report two cases of PBL, including a HIV-infected lady; in both the cases FNAC expressed features of non-Hodgkin's lymphoma. Finally, immunohistochemistry on cell-block with CD20 diagnosed both the cases as diffuse large B-cell lymphoma (DLBCL).

摘要

原发性乳腺淋巴瘤(PBL)是一种罕见的肿瘤性疾病。虽然HIV感染是已知的结外淋巴瘤发生的危险因素,但乳腺受累仍然罕见。在放射学上,PBL表现为边界清晰、回声不均匀、无钙化的肿块。细针穿刺细胞学检查(FNAC)常用于诊断这种肿瘤;然而,亚分类需要对肿瘤细胞进行免疫表型特征分析。在此,我们报告两例PBL病例,其中一例为HIV感染女性;两例FNAC均表现为非霍奇金淋巴瘤的特征。最后,对细胞块进行CD20免疫组化检查,两例均诊断为弥漫性大B细胞淋巴瘤(DLBCL)。

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