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原发性乳腺弥漫性大 B 细胞淋巴瘤。

Primary breast diffuse large B cell lymphoma.

机构信息

Internal Medicine Residency, AdventHealth Orlando, Orlando, Florida, USA.

Internal Medicine Residency, AdventHealth Orlando, Orlando, Florida, USA

出版信息

BMJ Case Rep. 2022 Jun 6;15(6):e250478. doi: 10.1136/bcr-2022-250478.

Abstract

Primary breast lymphoma (PBL) is an uncommon type of breast malignancy. Its clinical presentation and radiographic findings are non-specific and overlap with breast carcinoma. The treatment of PBL differs significantly from breast carcinomas. Here we present a middle-aged woman who presented with an enlarging palpable right breast mass. Mammogram showed breast imaging-reporting and data system 4 findings. Breast mass biopsy pathology confirmed diffuse large B cell lymphoma. Although uncommon, clinicians should be cognisant of the possibility of PBL when patients present with a breast mass. Accurate diagnosis is essential to avoid unnecessary mastectomies.

摘要

原发性乳腺淋巴瘤(PBL)是一种罕见的乳腺恶性肿瘤。其临床表现和影像学表现不具有特异性,与乳腺癌有重叠。PBL 的治疗与乳腺癌显著不同。本文报告了一位中年女性,她因右乳房肿块增大而就诊。乳房 X 线摄影报告和数据系统(BI-RADS)4 类检查结果显示为 4 类。乳腺肿块活检病理证实为弥漫性大 B 细胞淋巴瘤。尽管罕见,但当患者出现乳腺肿块时,临床医生应意识到 PBL 的可能性。准确的诊断对于避免不必要的乳房切除术至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3e/9171281/f88ef586c1e9/bcr-2022-250478f01.jpg

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