Breast lymphoma: on MRI

Case contributed by Dr Enrico Citarella

Presentation

Left breast mass.

Patient Data

Age: 47
Gender: Female
MRI

Left breast 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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