Antúnez Yazmin Olivares, Dávila Zablah Yesika Janett, Ávila José Raúl Vázquez, Macías Gabriela Sofía Gómez, Montemayor Margarita Lilia Garza
Diagnostic Breast Imaging Center of Zambrano-Hellion Hospital, Tecnológico de Monterrey, Av. Batallón de San Patricio 112, Real San Agustín, 66260 San Pedro Garza García, Nuevo León, Mexico.
Patology, Service of San José Hospital, Tecnológico de Monterrey, Av. Ignacio Morones Prieto 3000, Sertoma, 64710 Monterrey, Nuevo León, Mexico.
Radiol Case Rep. 2024 Jan 13;19(4):1313-1318. doi: 10.1016/j.radcr.2023.12.018. eCollection 2024 Apr.
Lymphoma is the most frequent hematologic malignancy that involves the breast. It represents less than 1% of all breast cancer. The most common subtype is the secondary B-cell lymphoma. Clinically, lymphomas are divided into primary and secondary breast lymphoma. We presented a case of 49-year-old female, who has diagnosed of Non-Hodgkin's Lymphoma, finalizing the treatment 2 months ago. Currently, she came for a check-up due to a palpable lump in the right breast. Mammography shows a dense, oval, and circumscribed mass. Ultrasound revealed a 3.6 cm oval, hypoechoic, lobulated mass with internal vascularity at color Doppler. Axillary nodes show cortical thickening of 7 mm, cortical blood flood, and absence of fatty hilum. The histopathology report corresponds to infiltration of the right breast and bilateral axillary nodes by Non-Hodgkin Lymphoma. This case corresponds with lymphoma recurrence manifested in breast. The diagnosis of lymphoma is an imaging challenge that simulates benign and malignant pathologies.
淋巴瘤是最常见的累及乳腺的血液系统恶性肿瘤。它占所有乳腺癌的比例不到1%。最常见的亚型是继发性B细胞淋巴瘤。临床上,淋巴瘤分为原发性和继发性乳腺淋巴瘤。我们报告了一例49岁女性病例,她被诊断为非霍奇金淋巴瘤,2个月前完成治疗。目前,她因右乳可触及肿块前来检查。乳腺钼靶显示一个致密、椭圆形且边界清晰的肿块。超声显示一个3.6厘米椭圆形、低回声、分叶状肿块,彩色多普勒显示内部有血管。腋窝淋巴结显示皮质增厚7毫米,皮质血流丰富,脂肪门消失。组织病理学报告显示右乳和双侧腋窝淋巴结有非霍奇金淋巴瘤浸润。该病例符合淋巴瘤在乳腺复发的表现。淋巴瘤的诊断是一项影像学挑战,因为它可模拟良性和恶性病变。