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一名获得性免疫缺陷综合征患者原发性乳腺弥漫性大B细胞淋巴瘤的罕见病例。

A Rare Case of Primary Breast Diffuse Large B-cell Lymphoma in an Acquired Immunodeficiency Syndrome Patient.

作者信息

Lockwood Mary A, Noginskiy Ilya, Kalavar Madhumathi

机构信息

Internal Medicine, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, USA.

Oncology, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, USA.

出版信息

Cureus. 2023 Mar 11;15(3):e36019. doi: 10.7759/cureus.36019. eCollection 2023 Mar.

Abstract

Primary breast lymphoma (PBL) is not a commonly seen subtype of breast cancer, and it is also unusual for an extranodal variant of diffuse large B-cell lymphomas (DLBCLs) to appear in the breast. In this case report, we recount the presentation of painful masses in the right axillary and right breast regions in an acquired immunodeficiency syndrome (AIDS) patient, shortly after a mammogram described her breast lesion as BI-RADS 3, probably benign, in the breast imaging reporting and data system. This case demonstrated that painful breast and axillary masses in an acquired immunodeficiency syndrome (AIDS) patient can grow quickly, be misdiagnosed, and require an expedient workup, as extranodal DLBCL can be a debilitating disease.

摘要

原发性乳腺淋巴瘤(PBL)并非乳腺癌常见的亚型,弥漫性大B细胞淋巴瘤(DLBCL)的结外变异型出现在乳腺中也不常见。在本病例报告中,我们讲述了一名获得性免疫缺陷综合征(AIDS)患者在乳房影像报告和数据系统(BI-RADS)将其乳腺病变描述为3类、可能为良性的乳房X光检查后不久,右腋窝和右乳腺区域出现疼痛性肿块的情况。该病例表明,获得性免疫缺陷综合征(AIDS)患者出现的乳腺和腋窝疼痛性肿块可能生长迅速、被误诊,并且需要迅速进行检查,因为结外DLBCL可能是一种使人衰弱的疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8518/10084942/2c911dbe8fc2/cureus-0015-00000036019-i01.jpg

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