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乳腺原发性霍奇金淋巴瘤有哪些新进展?一例病例报告及文献综述。

What's new on primary Hodgkin's lymphoma of the breast? A case report and review of the literature.

作者信息

Faenza Mario, Ronchi Andrea, Santoriello Antonio, Rubino Corrado, Pieretti Gorizio, Guastafierro Antonio, Ferraro Giuseppe Andrea, Nicoletti Giovanni Francesco

机构信息

Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy; Ph.D. School in Traslational Medicine of Development and Active Aging, Università di Salerno, Salerno, Italy.

Department of Mental and Physical Health and Preventive Medicine, Pathology Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.

出版信息

Int J Surg Case Rep. 2017;38:149-153. doi: 10.1016/j.ijscr.2017.07.036. Epub 2017 Jul 21.

Abstract

INTRODUCTION

According to literature, primary Hodgkin's lymphomas of the breast represent one of the rarer entity in the primary breast lymphoma (PBL) scenario. This is the reason why these tumors are insidious in mammary oncology.

PRESENTATION OF THE CASE

We report a case of HL primitive breast in an elderly patient in whom radiology suspected an advanced breast cancer with ipsilateral axillary involvement and in which the fine-needle aspiration came back not significant.

DISCUSSION

Eighteen cases of primary Hodgkin's lymphoma of the breast has been described in Literature in a very large period of time: from 1928 to 2016. The nodular sclerosis type is the most frequent histological variant.

CONCLUSION

Their rarity together with the fact that radiological investigations are not significant for the purpose of an exact diagnosis, make these lesions extremely difficult to identify.

摘要

引言

根据文献记载,原发性乳腺霍奇金淋巴瘤是原发性乳腺淋巴瘤(PBL)中较为罕见的一种类型。这就是这些肿瘤在乳腺肿瘤学中具有隐匿性的原因。

病例介绍

我们报告一例老年患者的原发性乳腺霍奇金淋巴瘤,放射学检查怀疑为晚期乳腺癌伴同侧腋窝受累,细针穿刺结果无明显异常。

讨论

在很长一段时间内,即从1928年至2016年,文献中描述了18例原发性乳腺霍奇金淋巴瘤病例。结节硬化型是最常见的组织学变异类型。

结论

它们的罕见性以及放射学检查对于准确诊断无明显意义这一事实,使得这些病变极难识别。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bef/5537453/3761d53a6449/gr1.jpg

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