words per minute
6
TheRevenant99
00:00
Speed
DISCUSSION
This is a rare case of primary breast lymphoma whose clinical presentation has resulted in the appearance of a painless and hard mass associated with suspected axillary adenopathy, clinical findings that are no different from breast carcinoma. In terms of imaging, the characteristics were consistent with the diagnostic hypothesis. The lesion was suspicious, hypoechogenic, with poorly defined contours and was classified as BIRADS 5. However, after biopsy of the lesion and adenopathy, the histological findings evidenced a diffuse large B-cell lymphoma. There was no previous history of lymphoma and the CT scan study showed no distant lesions, meeting the diagnostic criteria for primary breast lymphoma. In view of this diagnosis, unlike breast carcinoma whose approach is well established and often undergoes surgical management, there are no well-defined therapeutic guidelines due to the rarity of primary breast lymphoma. The treatment must be individualized and multimodal, with surgery reserved for patients who benefit from a better local control.