The features of breast lymphoma on MRI

Liu, K.; Xie, Ping; Peng, Weijun; Zhou, Zhongwen

doi:10.1259/bjr.20130220

Cited by 14 publications

(13 citation statements)

References 26 publications

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“…After intravenous administration of contrast medium, IHM internal enhancement was mostly homogeneous or slightly heterogeneous. As reported previously, rim enhancement and dark internal septation were rarely seen 14 , 37 , 38 , 41 , which is similar to the enhancement pattern of lymphomas in other sites. Overall, MRI findings of IHM differ from those in frequent breast carcinomas, which usually show marked heterogeneous enhancement 42 , 43 .…”

Section: Discussionsupporting

confidence: 89%

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Radiological imaging characteristics of intramammary hematological malignancies: results from a german multicenter study

Wienbeck

Meyer

Uhlig

et al. 2017

Sci Rep

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To assess radiological procedures and imaging characteristics in patients with intramammary hematological malignancies (IHM). Radiological imaging studies of histopathological proven IHM cases from ten German University affiliated breast imaging centers from 1997-2012 were retrospectively evaluated. Imaging modalities included ultrasound (US), mammography and magnetic resonance imaging (MRI). Two radiologists blinded to the histopathological diagnoses independently assessed all imaging studies. Imaging studies of 101 patients with 204 intramammary lesions were included. Most patients were women (95%) with a median age of 64 years. IHM were classified as Non Hodgkin lymphoma (77.2%), plasmacytoma (11.9%), leukemia (9.9%), and Hodgkin lymphoma (1%). The mean lesion size was 15.8 ± 10.1 mm. Most IHM presented in mammography as lesions with comparable density to the surrounding tissue, and a round or irregular shape with indistinct margins. On US, most lesions were of irregular shape with complex echo pattern and indistinct margins. MRI shows lesions with irregular or spiculated margins and miscellaneous enhancement patterns. Using US or MRI, IHM were more frequently classified as BI-RADS 4 or 5 than using mammography (96.2% and 89.3% versus 75.3%). IHM can present with miscellaneous radiological patterns. Sensitivity for detection of IHM lesions was higher in US and MRI than in mammography.Intramammary hematological malignancies (IHM) have been described as a inhomogeneous group of breast malignancies, including various subtypes of malignant lymphomas, plasmacytomas and leukemias 1-3 . Overall, breast involvement in malignant hematological diseases is an uncommon manifestation and accounts for approximately 0.04-0.5% of all malignant breast cancers 4,5 . Of all extranodal malignant lymphomas, approximately 0.85-2.2% manifest as primary breast lymphomas 6-8 . Secondary breast involvement in a patient, who has a history of systemic malignant lymphoma, is more common [9][10][11] .Breast involvement by lymphoma can present as a primary breast tumor, or as an extranodal manifestation in systemic disease [4][5][6][7][8] .

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Section: Discussionsupporting

confidence: 89%

“… 37 and Liu et al . 38 . On T2 weighted images, all investigated lesions appeared intermediate compared to breast parenchyma, in line with the literature 14 , 37 .…”

Section: Discussionmentioning

confidence: 99%

Radiological imaging characteristics of intramammary hematological malignancies: results from a german multicenter study

Wienbeck

Meyer

Uhlig

et al. 2017

Sci Rep

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“…Here, we describe the two patients with PBL that were subjected to FDG PET/MRI. As previously reported, both patients presented with palpable breast masses in the fourth and sixth decades of life [6,7]. Unilateral involvement with right-side predominance was observed, which agree with previous study [6].…”

Section: Discussionsupporting

confidence: 92%

“…Although MRI has become an integral component of breast imaging practice, few reports have been released on the appearance of PBL by MRI due its rarity [6,7,9]. In a previous report, PBL was found to be hypointense or isointense mass on T1w images and hyperintense on T2w images [7,8]. The characteristic features of more common breast carcinomas, such as calcifications, spiculations, or architectural distortions, are not observed in lymphoma [10,11].…”

Section: Discussionmentioning

confidence: 99%

“…However, the CT component of PET/CT inadequately describes anatomical abnormalities of breast lesions, and thus, hybrid PET/MR has potentially greater diagnostic value because of the superior features of MRI in increased soft tissue contrast and ability to provide functional information. Although MRI has become an integral component of breast imaging practice, few reports have been released on the appearance of PBL by MRI due its rarity [6,7,9]. In a previous report, PBL was found to be hypointense or isointense mass on T1w images and hyperintense on T2w images [7,8].…”

Section: Discussionmentioning

confidence: 99%

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F-18 FDG PET/MRI findings of primary breast lymphoma in two cases

Kong

Cho

2015

Clinical Imaging

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Bildgebende Diagnostik maligner lymphoproliferativer Erkrankungen der Brust

2018

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Intramammary manifestation of lymphoproliferative disease is rare. The radiological evaluation follows in most cases the clinical suspicion and therefore the radiologist takes an important place in diagnostics. The aim of this work is to demonstrate typical radiological patterns of this rare entity with multimodal cases and to sensitize for it. The differential diagnosis to other breast tumors, especially primary breast carcinoma, can be radiologically difficult, so the suspicious lesion must be histologically verified by biopsy.

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The features of breast lymphoma on MRI

Abstract: Some special features on MRI are useful for the diagnosis of BL.

Cited by 14 publications

References 26 publications

Radiological imaging characteristics of intramammary hematological malignancies: results from a german multicenter study

Radiological imaging characteristics of intramammary hematological malignancies: results from a german multicenter study

F-18 FDG PET/MRI findings of primary breast lymphoma in two cases

Bildgebende Diagnostik maligner lymphoproliferativer Erkrankungen der Brust

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