Subcutaneous panniculitis-like T-cell lymphoma with breast involvement: functional and morphological imaging findings

Schramm, Nicolai; Pfluger, Thomas; Reiser, M.; Berger, Frank

doi:10.1259/bjr/69172676

Cited by 27 publications

(27 citation statements)

References 18 publications

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“…Histologically, the majority of cases are B-cell lymphomas [1][2][3][4][5][6][7]. However, other types of BL, such as mucosa-associated lymphoma, Burkitt lymphoma and T-cell lymphoma have been described [44][45][46]. In our study, B-cell lymphoma was found in 94% and T-cell lymphoma in 6%.…”

Section: Histological Diagnosismentioning

confidence: 44%

Primary and secondary breast lymphoma: prevalence, clinical signs and radiological features

Surov¹,

Hj²,

Wienke³

et al. 2012

BJR

105

144

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Objectives: The purpose of this study was to determine the prevalence, clinical signs and radiological features of breast lymphoma. Methods: This is a retrospective review of 36 patients with breast lymphoma (22 primary and 14 secondary). 35 patients were female and 1 was male; their median age was 65 years (range 24-88 years). In all patients, the diagnosis was confirmed histopathologically. Results: The prevalence of breast lymphoma was 1.6% of all identified cases with non-Hodgkin lymphoma and 0.5% of cases with breast cancer. B-cell lymphoma was found in 94% and T-cell lymphoma in 6%. 96 lesions were identified (2.7 per patient). The mean size was 15.8¡8.3 mm. The number of intramammary lesions was higher in secondary than in primary lymphoma. The size of the identified intramammary lesions was larger in primary than in secondary lymphoma. Clinically, 86% of the patients presented with solitary or multiple breast lumps. In 14%, breast involvement was diagnosed incidentally during staging examinations. Conclusion: On mammography, intramammary masses were the most commonly seen (27 patients, 82%). Architectural distortion occurred in three patients (9%). In three patients (9%), no abnormalities were found on mammography. On ultrasound, the identified lesions were homogeneously hypoechoic or heterogeneously mixed hypo-to hyperechoic. On MRI, the morphology of the lesions was variable. After intravenous administration of contrast medium, a marked inhomogeneous contrast enhancement was seen in most cases. On CT, most lesions presented as circumscribed round or oval masses with moderate or high enhancement.

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Section: Histological Diagnosismentioning

confidence: 44%

Primary and secondary breast lymphoma: prevalence, clinical signs and radiological features

Surov¹,

Hj²,

Wienke³

et al. 2012

BJR

105

144

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“…Ulceration is uncommon (2, 3). To our knowledge, there are only two case reports describing SPTCL manifesting as a breast mass (4, 5). Initial systemic symptoms, such as fever, fatigue, and weight loss, are frequent, and hemophagocystic syndrome may be present (1-3).…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous Panniculitis-Like T-Cell Lymphoma of the Breast

et al. 2013

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“…Also, only a few reports represent the imaging features of lymphomatous involvement of the breast (13-15). Mammographic findings in those reports were non-specific and variable; from no detectable abnormal findings to diffusely increased opacities with skin thickening and enlarged axillary lymph nodes, ill-defined or irregular masses to well-defined lesions with a benign appearance (11, 13-15). US features were mostly of solitary, irregular mass to multiple, indistinctly-marginated, mixed hyper- and hypoechoic masses, or pseudocystic configurations.…”

Section: Discussionmentioning

confidence: 98%

“…So far, only a few cases of T-cell lymphoma or B-cell PTLD of the breast have been reported in literature (11, 13-15). Also, only a few reports represent the imaging features of lymphomatous involvement of the breast (13-15).…”

Section: Discussionmentioning

confidence: 99%

“…US features were mostly of solitary, irregular mass to multiple, indistinctly-marginated, mixed hyper- and hypoechoic masses, or pseudocystic configurations. In most cases, 18 F-FDG PET-CT showed focal or diffuse hypermetabolism in the breast (11, 13-15). Regardless of the histologic subtype, our case showed similar US features to the reported cases of breast lymphoma; multiple, ill-defined, mixed hyper-and hypo masses, and focal heterogeneous bulging parenchymal lesions.…”

Section: Discussionmentioning

confidence: 99%

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Isolated Post-Transplantation Lymphoproliferative Disease Involving the Breast and Axilla as Peripheral T-cell Lymphoma

et al. 2013

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Post-transplantation lymphoproliferative disorders (PTLDs) are a heterogeneous group of diseases that represent serious complications following immunosuppressive therapy for solid organ or hematopoietic-cell recipients. In contrast to B-cell PTLD, T-cell PTLD is less frequent and is not usually associated with Epstein Barr Virus infection. Moreover, to our knowledge, isolated T-cell PTLD involving the breast is extremely rare and this condition has never been reported previously in the literature. Herein, we report a rare case of isolated T-cell PTLD of the breast that occurred after a patient had been treated for allogeneic peripheral blood stem cell transplantation due to acute myeloblastic leukemia.

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Subcutaneous panniculitis-like T-cell lymphoma with breast involvement: functional and morphological imaging findings

Cited by 27 publications

References 18 publications

Primary and secondary breast lymphoma: prevalence, clinical signs and radiological features

Primary and secondary breast lymphoma: prevalence, clinical signs and radiological features

Subcutaneous Panniculitis-Like T-Cell Lymphoma of the Breast

Isolated Post-Transplantation Lymphoproliferative Disease Involving the Breast and Axilla as Peripheral T-cell Lymphoma

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