Case Report

Korean J Hematol 2006; 41(3):

Published online September 30, 2006

https://doi.org/10.5045/kjh.2006.41.3.194

© The Korean Society of Hematology

임신 중 발견된 뇌전이를 동반한 유방의 원발성악성림프종 1예

임재윤, 최유경, 김익성, 문종태, 오기근, 조재용

연세대학교 의과대학 영동세브란스병원, 내과학교실, 진단방사선과학교실

A Case of Primary Breast Lymphoma with Brain Metastasis Detected during Pregnancy

Jae Yun Lim, You Kyung Choi, Ek Seong Kim, Jong Tae Moon, Ki Keun Oh, Jae Yong Cho

Departments of, Internal Medicine, Diagnostic Radiology, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea

Abstract

Primary breast lymphoma (PBL) is a rare clinical presentation of localized non-Hodgkin's lymphoma (NHL), and it makes up 0.04∼1.1% of all breast tumors and it is 0.38∼0.7% of all NHLs. The prognosis and patterns of relapse of PBL are still not clearly defined. The clinical features of PBL are different from those of breast carcinoma and the usual form of lymphoma. These features are a rapidly enlarging breast mass, multiple lesions, the absence of nipple discharge and retraction, and softer axillary lymph nodes as compared to the metastatic lymph nodes from breast carcinoma. B symptoms are unusual in PBL. A 30-year-old pregnant woman was admitted due to dysarthria and right side weakness that she had experienced for 7 days. She had several medical problems: intrauterine pregnancy at 34 weeks, some neurologic deficits and enlargement of both breasts. A biopsy from the breast and a brain magnetic resonance image (MRI) revealed diffuse large B cell lymphoma and multiple brain metastases, respectively. After delivery of a healthy, premature infant by Cesarean section, whole brain radiation therapy and combination chemotherapy (rituximab, cyclophosphamide, adriamycin, vincristine and prednisone) were started. She showed good response to therapy. We report here on this unusual case and we review the related literature.

Keywords Primary breast lymphoma, Pregnancy, Brain metastasis, Chemotherapy

Article

Case Report

Korean J Hematol 2006; 41(3): 194-198

Published online September 30, 2006 https://doi.org/10.5045/kjh.2006.41.3.194

Copyright © The Korean Society of Hematology.

임신 중 발견된 뇌전이를 동반한 유방의 원발성악성림프종 1예

임재윤, 최유경, 김익성, 문종태, 오기근, 조재용

연세대학교 의과대학 영동세브란스병원, 내과학교실, 진단방사선과학교실

A Case of Primary Breast Lymphoma with Brain Metastasis Detected during Pregnancy

Jae Yun Lim, You Kyung Choi, Ek Seong Kim, Jong Tae Moon, Ki Keun Oh, Jae Yong Cho

Departments of, Internal Medicine, Diagnostic Radiology, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea

Abstract

Primary breast lymphoma (PBL) is a rare clinical presentation of localized non-Hodgkin's lymphoma (NHL), and it makes up 0.04∼1.1% of all breast tumors and it is 0.38∼0.7% of all NHLs. The prognosis and patterns of relapse of PBL are still not clearly defined. The clinical features of PBL are different from those of breast carcinoma and the usual form of lymphoma. These features are a rapidly enlarging breast mass, multiple lesions, the absence of nipple discharge and retraction, and softer axillary lymph nodes as compared to the metastatic lymph nodes from breast carcinoma. B symptoms are unusual in PBL. A 30-year-old pregnant woman was admitted due to dysarthria and right side weakness that she had experienced for 7 days. She had several medical problems: intrauterine pregnancy at 34 weeks, some neurologic deficits and enlargement of both breasts. A biopsy from the breast and a brain magnetic resonance image (MRI) revealed diffuse large B cell lymphoma and multiple brain metastases, respectively. After delivery of a healthy, premature infant by Cesarean section, whole brain radiation therapy and combination chemotherapy (rituximab, cyclophosphamide, adriamycin, vincristine and prednisone) were started. She showed good response to therapy. We report here on this unusual case and we review the related literature.

Keywords: Primary breast lymphoma, Pregnancy, Brain metastasis, Chemotherapy

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