Breast lymphoma: on MRI

Case contributed by Dr Enrico Citarella

Presentation

Left breast mass.

Patient Data

Age: 47
Gender: Female

Left breast MRI

Modality: MRI

Oval shaped mass between lower quadrants (45 mm), with quite sharp margins. The mass is hyperintense in T2 acquisitions, hypointense in T1 acquisitions. The lesion presents a quite homogeneous enhancement with a II type curve (plateau). The lesion is hyperintense in DWI acquisitions (b value=1000), with ADC  (maps not shown) 0.00055 mm2/s . No skin involvement is noted.

Case Discussion

Histology showed a large B-cells non Hodgkin lymphoma. There wasn't clinical  involvment of axillary lymphnodes.

Breast lymphoma is a rare neoplasm accounting about 0.15% of all breast neoplasm and 2% of extranodal lymphomas.

ADC was quite low suggesting a malignant mass.

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Case Information

rID: 34999
Case created: 18th Mar 2015
Last edited: 30th Mar 2016
Inclusion in quiz mode: Included

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