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哺乳期母亲乳腺非霍奇金淋巴瘤:病例报告

Non-Hodgkin's lymphoma Breast in a lactating mother : Case Report.

作者信息

Rathee Neeraj Kumar, Gupta Nidhi, Sharma Sawant, Rathee Hari Krishan

机构信息

Department of Radiation Oncology, Government Medical College and Hospital, Sector-32, Chandigarh, India.

Department of General Surgery, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Nepal J Epidemiol. 2022 Mar 31;12(1):1163-1170. doi: 10.3126/nje.v12i1.42975. eCollection 2022 Mar.

Abstract

Non-Hodgkin's lymphoma of breast is a rare condition. NHL breast constitute about 0.5% of all malignancies of breast. NHL breast constitute nearly 1% of all cases of NHL. Among all subtypes of NHL, DLBCL (Diffuse large B-cell Lymphoma) is the most common type to be known. Marginal zone lymphoma (10-30%), follicular lymphoma (10-20%) and Burkit Lymphoma (5%) are other common histologic variants. Burkitt lymphoma is mainly seen in pregnant females or lactating females. Breast implant associated anapaestic large cell lymphoma (BIA-ALCL) constitutes remaining case. Thus, primary NHL of Breast is rare condition. DLBCL is most common histologic variant. We report here a rare case of primary NHL Breast. A 30 years old lactating mother came with history of swelling and nipple discharge from bilateral breast. -Treatment approach for low grade NHL breast is Radiotherapy only and for high grade NHL breast there is a role for combined modality approach that is chemotherapy followed by Radiotherapy with or without surgical intervention.

摘要

乳腺非霍奇金淋巴瘤是一种罕见疾病。乳腺非霍奇金淋巴瘤约占所有乳腺恶性肿瘤的0.5%。乳腺非霍奇金淋巴瘤约占所有非霍奇金淋巴瘤病例的1%。在非霍奇金淋巴瘤的所有亚型中,弥漫性大B细胞淋巴瘤(DLBCL)是最常见的已知类型。边缘区淋巴瘤(10 - 30%)、滤泡性淋巴瘤(10 - 20%)和伯基特淋巴瘤(5%)是其他常见的组织学变异类型。伯基特淋巴瘤主要见于怀孕女性或哺乳期女性。乳房植入物相关间变性大细胞淋巴瘤(BIA - ALCL)构成其余病例。因此,原发性乳腺非霍奇金淋巴瘤是一种罕见疾病。弥漫性大B细胞淋巴瘤是最常见的组织学变异类型。我们在此报告一例罕见的原发性乳腺非霍奇金淋巴瘤病例。一位30岁的哺乳期母亲因双侧乳房肿胀和乳头溢液前来就诊。——低度乳腺非霍奇金淋巴瘤的治疗方法仅为放疗,而高度乳腺非霍奇金淋巴瘤则采用综合治疗方法,即化疗后进行放疗,可伴有或不伴有手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccf/9057168/fe1b27d1f180/nje-12-1163-g001.jpg

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