Case of Primary Breast and Ipsilateral Axillary T-Cell Lymphoma: a Rare Occurrence

Background. Malignant lymphomas of the breast are rare and can be primary or secondary. Non-Hodgkin Lymphoma involving the breast is even rarer comprising 0.04-0.5% of all breast malignancies (Takemura). The incidence is even lower for T-cell lymphomas compared with B-cell subtype. We report the rar...

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Main Authors: Faryal Afridi, Garry D. Ruben, Eric Oristian
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2020/6927835
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author Faryal Afridi
Garry D. Ruben
Eric Oristian
author_facet Faryal Afridi
Garry D. Ruben
Eric Oristian
author_sort Faryal Afridi
collection DOAJ
description Background. Malignant lymphomas of the breast are rare and can be primary or secondary. Non-Hodgkin Lymphoma involving the breast is even rarer comprising 0.04-0.5% of all breast malignancies (Takemura). The incidence is even lower for T-cell lymphomas compared with B-cell subtype. We report the rare incidence of primary T-cell lymphoma involving both breast and ipsilateral axilla. Case. This is the case of an 80-year-old female who initially presented with asymmetry of her right breast. Initial mammograms were inconclusive. MRI could not be performed due to the patient’s severe claustrophobia. The patient was then lost to follow-up but re-presented with a new palpable density in the same breast. Subsequent mammogram showed a suspicious lesion with suspicious right axillary lymphadenopathy. Core biopsy was consistent with T-cell lymphoproliferative disorder involving both the breast and the axilla. She was then referred to medical oncology for management. Conclusion. Although rare, lymphoproliferative disorders of the breast can be encountered during workup for suspicious breast lesions. It is imperative that the surgeon is aware of this rare diagnosis to facilitate appropriate therapeutic intervention.
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spelling doaj-art-2cc42fce9675440f9a22114b67be303a2025-02-03T00:58:44ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/69278356927835Case of Primary Breast and Ipsilateral Axillary T-Cell Lymphoma: a Rare OccurrenceFaryal Afridi0Garry D. Ruben1Eric Oristian2George Washington University Hospital Program, 900 23rd Street NW, Washington DC 20037, USAChief Department of General Surgery, Holy Cross Hospital, 1500 Forrest Glen Rd. Silver Spring MD 20910, USAChief Department of Breast Surgery, Holy Cross Hospital, 1500 Forrest Glen Rd. Silver Spring MD 20910, USABackground. Malignant lymphomas of the breast are rare and can be primary or secondary. Non-Hodgkin Lymphoma involving the breast is even rarer comprising 0.04-0.5% of all breast malignancies (Takemura). The incidence is even lower for T-cell lymphomas compared with B-cell subtype. We report the rare incidence of primary T-cell lymphoma involving both breast and ipsilateral axilla. Case. This is the case of an 80-year-old female who initially presented with asymmetry of her right breast. Initial mammograms were inconclusive. MRI could not be performed due to the patient’s severe claustrophobia. The patient was then lost to follow-up but re-presented with a new palpable density in the same breast. Subsequent mammogram showed a suspicious lesion with suspicious right axillary lymphadenopathy. Core biopsy was consistent with T-cell lymphoproliferative disorder involving both the breast and the axilla. She was then referred to medical oncology for management. Conclusion. Although rare, lymphoproliferative disorders of the breast can be encountered during workup for suspicious breast lesions. It is imperative that the surgeon is aware of this rare diagnosis to facilitate appropriate therapeutic intervention.http://dx.doi.org/10.1155/2020/6927835
spellingShingle Faryal Afridi
Garry D. Ruben
Eric Oristian
Case of Primary Breast and Ipsilateral Axillary T-Cell Lymphoma: a Rare Occurrence
Case Reports in Surgery
title Case of Primary Breast and Ipsilateral Axillary T-Cell Lymphoma: a Rare Occurrence
title_full Case of Primary Breast and Ipsilateral Axillary T-Cell Lymphoma: a Rare Occurrence
title_fullStr Case of Primary Breast and Ipsilateral Axillary T-Cell Lymphoma: a Rare Occurrence
title_full_unstemmed Case of Primary Breast and Ipsilateral Axillary T-Cell Lymphoma: a Rare Occurrence
title_short Case of Primary Breast and Ipsilateral Axillary T-Cell Lymphoma: a Rare Occurrence
title_sort case of primary breast and ipsilateral axillary t cell lymphoma a rare occurrence
url http://dx.doi.org/10.1155/2020/6927835
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