A Case of Diffuse Large B Cell Lymphoma of the Breast with Predominantly High-Level Internal Echoes

A 70-year-old woman had a large mass in her right breast. Mammography displayed focal asymmetrical density in the scattered areas of fibroglandular density. Ultrasonography showed the tumor to have predominantly high-level internal echoes. Histological examination showed that the tumor was composed...

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Veröffentlicht in:Case Reports in Oncology 2020-01, Vol.13 (1), p.309-313
Hauptverfasser: Tomita, Masafumi, Oura, Shoji, Nishiguchi, Haruka, Makimoto, Shinichiro
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Makimoto, Shinichiro
description A 70-year-old woman had a large mass in her right breast. Mammography displayed focal asymmetrical density in the scattered areas of fibroglandular density. Ultrasonography showed the tumor to have predominantly high-level internal echoes. Histological examination showed that the tumor was composed of CD20-positive atypical cells with a large nucleus, scant cytoplasm, and abundant mitoses accompanied by a lot of fat cell interspersion and the diagnosis of diffuse large B cell lymphoma was made. We considered that the massive back scattering generated by the heterogeneity of acoustic impedance between fat cells and tumor cells brought about the high-level internal echoes. The patient had undergone chemotherapy followed by radiotherapy to the breast and regional nodes and has been well without lymphoma recurrence for more than 6 years. Although breast malignant lymphoma generally shows very low-level internal echoes, it could have high-level internal echoes especially in case of a non-dense breast.
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subjects Acoustics
Adipocytes
Biopsy
Breast cancer
Breast diseases
breast neoplasm
Breast tumors
Care and treatment
Case Report
Case reports
Case studies
Diagnosis
high-level internal echoes
Hospitals
Lymphoma
malignant lymphoma
Mammography
Mortality
Non-Hodgkin's lymphomas
Physicians
Radiation therapy
Surgery
Tumors
Ultrasonic imaging
Womens health
title A Case of Diffuse Large B Cell Lymphoma of the Breast with Predominantly High-Level Internal Echoes
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