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Bilateral Secondary Non - Hodgkin’s Lymphoma of the Breasts: A Rare Case Report

Introduction: Non–Hodgkin’s lymphoma of the breast is a rare malignancy. Lymphoma breast could mimic the clinical presentation of inflammatory breast carcinoma. Confirmatory diagnosis is usually performed by fine needle aspiration cytology(FNAC). Prognoses mainly depend on histological grade and stage of the disease. Chemo-radiation is the most actable treatment.

Objective: Rare occurrence and important differential diagnosis with carcinoma breast justify reporting our case.

Method: Report of a rare case.

Results: We report a case of bilateral secondary Non-Hodgkin’s Lymphoma (NHL) of the breast in a 39 years old Malay female. She presented to us with the chief complaints of left breast lump and pain with general weakness for last two months. On examination she was cachexic, had bilateral breast lumps with inflammation of the left breast skin and multiple axillaries lymph nodes on both sides. True cut biopsy of the both breast lumps showed NHL, type B. Ultrasound of abdomen was suggestive of lymphomas of the kidneys with enlarged para aortic lymph nodes. X-ray chest reveled multiple right sided ribs fracture. Laboratory investigations showed anemia and markedly raised lactic dehydrogenase (LDH). During hospital stay she detoriated very fast and developed fever and respiratory failure. She was planned for palliative management due to her advanced disease. Relative took discharge on request from hospital on 8th day of her admission & she died at home on the same day of discharge from the hospital.

Conclusions: Although Non-Hodgkin’s lymphoma of the breast is a rare malignancy but it is an important differential diagnosis of the carcinoma of the breast.


D. K. Das , U. Choudhury

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