Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 25 mai 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English
British Flag| Romana Romanian Flag
 
Creditare EMC
Colegiul Medicilor
Va invitam sa va inregistrati/abonati la Jurnalul de chirurgie pentru a beneficia de creditare EMC
User

Parola

Tine minte
Ti-ai uitat parola?
Syndicate

Advertisement

Elmed

Estima

Liamed

Listare E-mail

PRIMARY LYMPHOMA OF BREAST - UNUSUAL TYPE - CASE REPORT
N. Panda (1), Manju Banerjee (1), Ruchira Das (2)
(1) R. G Kar Medical College, Kolkata, India
(2) B. S Medical College, Bankura, India
Jurnalul de chirurgie 2011; 7 (2): 270-273
Full text:
Format PDF (Engleză/English)

Abstract:

Introduction: Primary Lymphoma of the breast (PBL) is a rare entity, while secondary involvement of the breast with diffuse disease is more common. While Non Hodgkin Lymphoma type is the usual variant in PBL. We report a case primary Hodgkins lymphoma of the breast. Case Presentation: A 50 yr old woman presented three years ago with multiple lump in her left breast. Core biopsy revealed lymphoma like features. Excision biopsy of the upper outer quadrant lump revealed nodular lymphocytic predominant Hodgkin’s lymphoma (HL). Stage was II A. Chemotherapy resulted in complete remission. Patient was lost in follow up only to return with multiple local recurrences three years after primary treatment. Discussion: Primary NHL breast is rare but primary breast HL is rarer still. Nodular lymphocyte-predominant type of Hodgkin's disease is recognized as an entity distinct from classical Hodgkin's disease with a number of characteristics that suggest its relationship to non-Hodgkin's lymphoma. In histological terms, the differentiation of breast lymphoma cases from breast carcinomas and pseudo lymphoma is important. In our case, though no immunohistochemistry was available, the histological diagnosis was straightforward. Primary breast lymphomas behave similarly to lymphomas of similar histologic types. Treatment wise, the optimal sequence recommended is lumpectomy followed by Radiotherapy or radiotherapy alone for local control and standard anthracycline-based regimens. PBL tends to relapse to CNS; therefore, Computerized Tomography (CT) or Magnetic Resonance (M R) image of CNS is necessary during follow-up. Conclusion: PBL should be treated as lymphoma elsewhere with proper staging. While immunocytochemistry helps, when not available, treatment as per histological type should suffice. Proper staging and post treatment follow up is crucial.

KEY WORDS: PRIMARY LYMPHOMA OF THE BREAST, HODGKIN’S LYMPHOMA, NON HODGKIN’S LYMPHOMA

Correspondence to: Mr Nilanjan Panda, M.S, MRCSEd,DNB, Clinical Tutor , Surgery,  R. G Kar Medical College, Kolkata, India. Postal address-P 318 b, CIT Road, Scheme 6 M, Kankurgachi, Kolkata, West Bengal, India Pin – 700054, Phone=00919748774942 and 00913323629007, e-mail:



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.