Primary Breast Lymphoma Clinically Mimicking Acute Mastitis: A Case Report

Sun, Li‐Min; Huang, Eng‐Yen; Meng, Fanyun; Chang, Nai-Jen; Chung, Li-Min; Liang, Jian; Lu, Chiao-Yi

doi:10.1177/030089161109700218

Cited by 6 publications

(6 citation statements)

References 14 publications

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“…Differentiating breast lymphoma from inflammatory diseases is challenging, especially in patients with a painful breast lump, erythema, or skin thickening [44,45]. Inflammatory breast diseases include infectious mastitis, abscess, or idiopathic granulomatous lobular mastitis.…”

Section: Differential Diagnosis From Other Breast Malignancies and Inmentioning

confidence: 99%

Lymphoma Affecting the Breast: A Pictorial Review of Multimodal Imaging Findings

et al. 2013

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Hematological malignancies rarely affect the breast, and the majority of those that do are lymphomas. In this review, we describe the clinical aspects and multimodal imaging findings of breast lymphoma. We also illustrate the key clinical and radiological findings that allow it to be distinguished from various other malignant and benign diseases of the breast. Breast lymphoma manifests as a breast mass, a change in the subcutaneous tissue or the skin, or enlargement of the associated lymph node on radiological examination. Radiological findings associated with other breast malignancies, such as calcifications, spiculations, or architectural distortions are extremely rare. Skin and subcutaneous changes frequently accompany T-cell lymphoma. Multimodal breast imaging characteristics may aid in the diagnosis of breast lymphoma.

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Section: Differential Diagnosis From Other Breast Malignancies and Inmentioning

confidence: 99%

Lymphoma Affecting the Breast: A Pictorial Review of Multimodal Imaging Findings

et al. 2013

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“…These are most often cases of pure primary squamous cell carcinoma of the breast [15–18] but also primary lymphoma [18, 19] or even lymphoepithelioma-like carcinoma originally presented as an abscess, although it is very rare [20]. Even in breastfeeding an abscess may turn out to be cancer [21].…”

Section: Discussionmentioning

confidence: 99%

Breast Abscessed Cancer in Nonlactating Women in Tropical Environment: Radiological, Bacteriological, and Anatomopathological Features about 3 Cases

Tchaou

Darré

Amavi

et al. 2017

Case Reports in Radiology

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“…Primary squamous cell carcinoma of the breast is rare, accounting for less than 0.4% of all cases of breast cancer. (5) There are also reports of primary breast B-cell lymphoma that present with the initial clinical image of breast sepsis -Sun et al (9) and Antoniou et al (10) reported a unilateral and a bilateral case, respectively. The patients in those two reports did not harbour a typical abscess despite the highly inflammatory clinical features of the breast.…”

Section: Discussionmentioning

confidence: 99%

Lactating breast abscess: a rare presentation of adenosquamous breast carcinoma

Alipour

Seifollahi

Anbiaee

2013

smedj

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C a s e R e p o r t e247 I NTRO D U C TIO NInflammatory disorders of the breast, including mastitis and breast abscesses, are generally benign diseases that rarely harbour malignancy. Although the occurrence of cancer is not anticipated in true breast abscesses in nursing mothers, it can occasionally happen. Herein, we present a rare case of adenosquamous carcinoma of the breast in a 33-year-old lactating woman who presented with a breast abscess. CA S E R EPO RTA 33-year-old lactating woman presented to our breast clinic with signs of inflammation in her left breast -the skin was largely erythematous and warm over a tender 10-cm fluctuating mass, and several soft, non-suspicious lymphadenopathies were observed in the left axilla. According to the patient, the inflammation began two months prior to presentation and temporarily subsided with the use of oral antibiotics; when the use of oral antibiotics was discontinued, the inflammation flared up. Ultrasonography performed one month prior to presentation showed a multiloculated 93-mm × 82-mm × 63-mm fluidcontaining cavity in the left breast, which was suggestive of a breast abscess, and large reactive axillary lymph nodes in the same side.Intravenous antibiotics were prescribed, lactation ceased, and the cavity was surgically drained, yielding more than 300 mL of diluted pus. As routinely done in our institution, multiple biopsies were performed using the tissue obtained from the abscess wall. of the chest, abdomen and pelvis, and a bone scan of the whole body, was negative. The patient had no family history of breast cancer, and no other known risk factor was detected.Before proceeding with cancer treatment, we had to first determine whether the abscess was an inflammatory carcinoma or an invasive noninflammatory carcinoma presenting as an abscess. Although the inflammatory signs of the breast were in favour of the former diagnosis, a mismanaged large and persistent breast abscess is not uncommon in milk-laden breasts. Hence, the possibility of a lactating abscess superimposed on a typical invasive tumour was considered. However, since the pathologist who reviewed the histology slides could not detect any cancerous involvement in the dermal lymphatics, it was decided that the disease would be treated as a large noninflammatory invasive breast cancer.Following the diagnosis, the surgical wound was immediately closed to allow rapid initiation of neoadjuvant chemotherapy, which involved four cycles of treatment with cyclophosphamide, epirubicin and 5-fluorouracil, followed by four cycles of treatment with taxotere. As the patient did not consent to a mastectomy, breast-conserving surgery with a wide normal margin and axillary dissection was performed. The postoperative course was uneventful. Postoperative radiotherapy consisted of a 5,000-cGy breast and regional lymphatic area irradiation and a 1,000-cGy irradiation boost to the tumour bed. ABSTRACT We report the case of a 33-year-old lactating woman who presented with a 10-cm breast abscess.Biopsy of the abscess w...

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Primary Breast Lymphoma Clinically Mimicking Acute Mastitis: A Case Report

Cited by 6 publications

References 14 publications

Lymphoma Affecting the Breast: A Pictorial Review of Multimodal Imaging Findings

Lymphoma Affecting the Breast: A Pictorial Review of Multimodal Imaging Findings

Breast Abscessed Cancer in Nonlactating Women in Tropical Environment: Radiological, Bacteriological, and Anatomopathological Features about 3 Cases

Lactating breast abscess: a rare presentation of adenosquamous breast carcinoma

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