Wadhwa Anubha, Senebouttarath Kathleen
Department of Radiology, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, United States.
Radiol Case Rep. 2018 Jun 10;13(4):815-821. doi: 10.1016/j.radcr.2018.04.009. eCollection 2018 Aug.
Primary breast lymphoma has been defined as localized involvement of one or both breasts with or without ipsilateral axillary nodal involvement, usually as a rare manifestation of extranodal non-Hodgkin's lymphoma. We describe three cases of this uncommon disease seen at our institution. Two of these cases presented as palpable breast lumps and one was screening detected. None of the patients had a prior history of lymphoma; only one reported B symptoms night sweats and weight loss. Diagnosis was established on ultrasound-guided core biopsy and no evidence of metastatic disease was identified. Even though the imaging features are not specific to this diagnosis, the radiologists should be aware of the clinical and imaging presentation of this rare malignancy to recommend appropriate management and establish radiologic-pathologic concordance.
原发性乳腺淋巴瘤被定义为一侧或双侧乳房局限性受累，伴或不伴有同侧腋窝淋巴结受累，通常是结外非霍奇金淋巴瘤的一种罕见表现。我们描述了在我们机构所见的三例这种罕见疾病。其中两例表现为可触及的乳腺肿块，一例是筛查发现的。所有患者既往均无淋巴瘤病史；只有一例报告有B症状（盗汗和体重减轻）。通过超声引导下的粗针活检确诊，未发现转移病灶。尽管影像学特征对该诊断不具有特异性，但放射科医生应了解这种罕见恶性肿瘤的临床和影像学表现，以推荐合适的治疗方案并建立放射学与病理学的一致性。
