Breast lymphoma mimicking benign breast lesions: A diagnostic challenge

IF 0.1 Q4 HEMATOLOGY Iraqi Journal of Hematology Pub Date : 2024-02-09 DOI:10.4103/ijh.ijh_79_23
Divya Mahajan, Bhupender Saini, Theepanraj Kamaraj, A. Pandey
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Abstract

NHL Primary of the breast is rare accounting 0.1% of the total malignancy. DLBCL is the most common histology for Primary NHL breast. It presentation is similar to carcinoma breast so biopsy followed by IHC is only method to differentiate between both. Due to rarity of the tumor there is lack of literature on proper diagnosis and treatment. RCHOP is the chemotherapy regime used and radiotherapy role is not clear. Some studies suggest role of CNS irradiation in high risk patient because of high chances of CNS spread in advance stage patient. In this paper we aim to highlight the diagnostic difficulties we faced and the treatment we followed. Here we bring to the knowledge of the reader about the review over diagnosis, clinical feature and treatment of NHL breast along side with two clinical cases to enhance clinical interest of the reviewer.
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模仿良性乳腺病变的乳腺淋巴瘤:诊断难题
乳腺原发性 NHL 非常罕见,占恶性肿瘤总数的 0.1%。DLBCL是乳腺原发性NHL最常见的组织学类型。其表现与乳腺癌相似,因此只有通过活检和 IHC 才能区分两者。由于这种肿瘤非常罕见,因此缺乏有关正确诊断和治疗的文献。RCHOP 是常用的化疗方案,放疗的作用尚不明确。一些研究建议对高危患者进行中枢神经系统照射,因为晚期患者中枢神经系统扩散的几率很高。本文旨在强调我们所面临的诊断困难和我们所采取的治疗方法。在此,我们向读者介绍有关 NHL 乳房的诊断、临床特征和治疗的综述,同时提供两个临床病例,以提高读者的临床兴趣。
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