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 |
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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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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.</description><identifier>ISSN: 1662-6575</identifier><identifier>EISSN: 1662-6575</identifier><identifier>DOI: 10.1159/000506676</identifier><identifier>PMID: 32308597</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>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</subject><ispartof>Case Reports in Oncology, 2020-01, Vol.13 (1), p.309-313</ispartof><rights>2020 The Author(s). Published by S. Karger AG, Basel</rights><rights>Copyright © 2020 by S. Karger AG, Basel.</rights><rights>COPYRIGHT 2020 S. Karger AG</rights><rights>Copyright © 2020 by S. Karger AG, Basel 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c512t-ed47369e2734d9e0fa6ee92e2289dc58decd98cbbf56d65a1cc60f86b3f44edd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154268/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154268/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,27635,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32308597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tomita, Masafumi</creatorcontrib><creatorcontrib>Oura, Shoji</creatorcontrib><creatorcontrib>Nishiguchi, Haruka</creatorcontrib><creatorcontrib>Makimoto, Shinichiro</creatorcontrib><title>A Case of Diffuse Large B Cell Lymphoma of the Breast with Predominantly High-Level Internal Echoes</title><title>Case Reports in Oncology</title><addtitle>Case Rep Oncol</addtitle><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.</description><subject>Acoustics</subject><subject>Adipocytes</subject><subject>Biopsy</subject><subject>Breast cancer</subject><subject>Breast diseases</subject><subject>breast neoplasm</subject><subject>Breast tumors</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Case studies</subject><subject>Diagnosis</subject><subject>high-level internal echoes</subject><subject>Hospitals</subject><subject>Lymphoma</subject><subject>malignant lymphoma</subject><subject>Mammography</subject><subject>Mortality</subject><subject>Non-Hodgkin's lymphomas</subject><subject>Physicians</subject><subject>Radiation therapy</subject><subject>Surgery</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Womens health</subject><issn>1662-6575</issn><issn>1662-6575</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DOA</sourceid><recordid>eNptkk1v1DAQhiMEoqVw4I6QpZ44pPg7yQVpCYWutFIRgrPl2OONlyRenGzR_nu8pESthHzw6J1nXo09k2WvCb4iRFTvMcYCS1nIJ9k5kZLmUhTi6YP4LHsxjjuMZSWkeJ6dMcpwKariPDMrVOsRUHDok3fukMKNjltAH1ENXYc2x37fhl6fgKlNcgQ9Tui3n1r0NYINvR_0MHVHdOO3bb6BO-jQepggDrpD16YNML7MnjndjfDq_r7Ifny-_l7f5JvbL-t6tcmNIHTKwfKCyQpowbitADstASoKlJaVNaK0YGxVmqZxQlopNDFGYlfKhjnOwVp2ka1nXxv0Tu2j73U8qqC9-iuEuFU6Tt50oLRuSONAG14Q7gxrCiFcIZzh3DQas-T1YfbaH5oerIFhirp7ZPo4M_hWbcOdKojgVJbJ4PLeIIZfBxgntQuH06eMinJSMSIpp4m6mqmtTl35wYVkZtKx0HsTBnA-6SvJGJeClzIVvJsLTAzjGMEtLRGsTsuglmVI7NuHb1jIf9NPwJsZ-HkaeVyApf7yv-n62-1MqL117A-4IMSS</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Tomita, Masafumi</creator><creator>Oura, Shoji</creator><creator>Nishiguchi, Haruka</creator><creator>Makimoto, Shinichiro</creator><general>S. Karger AG</general><general>Karger Publishers</general><scope>M--</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20200101</creationdate><title>A Case of Diffuse Large B Cell Lymphoma of the Breast with Predominantly High-Level Internal Echoes</title><author>Tomita, Masafumi ; Oura, Shoji ; Nishiguchi, Haruka ; Makimoto, Shinichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-ed47369e2734d9e0fa6ee92e2289dc58decd98cbbf56d65a1cc60f86b3f44edd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acoustics</topic><topic>Adipocytes</topic><topic>Biopsy</topic><topic>Breast cancer</topic><topic>Breast diseases</topic><topic>breast neoplasm</topic><topic>Breast tumors</topic><topic>Care and treatment</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Case studies</topic><topic>Diagnosis</topic><topic>high-level internal echoes</topic><topic>Hospitals</topic><topic>Lymphoma</topic><topic>malignant lymphoma</topic><topic>Mammography</topic><topic>Mortality</topic><topic>Non-Hodgkin's lymphomas</topic><topic>Physicians</topic><topic>Radiation therapy</topic><topic>Surgery</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tomita, Masafumi</creatorcontrib><creatorcontrib>Oura, Shoji</creatorcontrib><creatorcontrib>Nishiguchi, Haruka</creatorcontrib><creatorcontrib>Makimoto, Shinichiro</creatorcontrib><collection>Karger Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Case Reports in Oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tomita, Masafumi</au><au>Oura, Shoji</au><au>Nishiguchi, Haruka</au><au>Makimoto, Shinichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case of Diffuse Large B Cell Lymphoma of the Breast with Predominantly High-Level Internal Echoes</atitle><jtitle>Case Reports in Oncology</jtitle><addtitle>Case Rep Oncol</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>13</volume><issue>1</issue><spage>309</spage><epage>313</epage><pages>309-313</pages><issn>1662-6575</issn><eissn>1662-6575</eissn><abstract>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.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>32308597</pmid><doi>10.1159/000506676</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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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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