Primary Breast Lymphoma in a Young Female: Non-Hodgkin’s Diffuse Large B-Cell Lymphoma in the Presence of Intact Breast Prostheses

Introduction: Primary breast lymphoma (PBL) is a rare non-Hodgkin lymphoma, predominantly presenting as diffuse large B-cell lymphoma (DLBCL) and primarily affecting the breast, often misdiagnosed due to its nonspecific symptoms resembling breast carcinoma. Breast implants are among...

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Main Authors: Ahmad Al-Bitar, Amnah Zahreddin, Mohammed Shwin, Abdullah Barbar, Alaa Dirani
Format: Article
Language:English
Published: Karger Publishers 2025-02-01
Series:Case Reports in Oncology
Online Access:https://karger.com/article/doi/10.1159/000543952
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author Ahmad Al-Bitar
Amnah Zahreddin
Mohammed Shwin
Abdullah Barbar
Alaa Dirani
author_facet Ahmad Al-Bitar
Amnah Zahreddin
Mohammed Shwin
Abdullah Barbar
Alaa Dirani
author_sort Ahmad Al-Bitar
collection DOAJ
description Introduction: Primary breast lymphoma (PBL) is a rare non-Hodgkin lymphoma, predominantly presenting as diffuse large B-cell lymphoma (DLBCL) and primarily affecting the breast, often misdiagnosed due to its nonspecific symptoms resembling breast carcinoma. Breast implants are among the most frequently used medical devices for esthetic and reconstructive purposes. Case Presentation: We present a 24-year-old female with a growing breast mass who was diagnosed with PBL (non-Hodgkin’s DLBCL). She underwent successful R-CHOP chemotherapy, resulting in complete remission. Follow-up imaging showed no distant metastasis or significant residual disease, with silicone implants intact and no pathological uptake. Conclusion: PBL is a rare malignancy that primarily affects postmenopausal women, with diagnosis relying on radiologic investigations and histopathology due to its clinical and imaging similarities to breast carcinoma. Treatment is controversial and often involves rituximab-based chemotherapy, intrathecal methotrexate, and radiotherapy, with improved outcomes observed in recent years.
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institution Kabale University
issn 1662-6575
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publishDate 2025-02-01
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series Case Reports in Oncology
spelling doaj-art-5fa68cd49d7b4560990add65003677072025-08-20T03:49:41ZengKarger PublishersCase Reports in Oncology1662-65752025-02-0118127127710.1159/000543952Primary Breast Lymphoma in a Young Female: Non-Hodgkin’s Diffuse Large B-Cell Lymphoma in the Presence of Intact Breast ProsthesesAhmad Al-Bitarhttps://orcid.org/0009-0009-3173-1942Amnah ZahreddinMohammed ShwinAbdullah BarbarAlaa Dirani Introduction: Primary breast lymphoma (PBL) is a rare non-Hodgkin lymphoma, predominantly presenting as diffuse large B-cell lymphoma (DLBCL) and primarily affecting the breast, often misdiagnosed due to its nonspecific symptoms resembling breast carcinoma. Breast implants are among the most frequently used medical devices for esthetic and reconstructive purposes. Case Presentation: We present a 24-year-old female with a growing breast mass who was diagnosed with PBL (non-Hodgkin’s DLBCL). She underwent successful R-CHOP chemotherapy, resulting in complete remission. Follow-up imaging showed no distant metastasis or significant residual disease, with silicone implants intact and no pathological uptake. Conclusion: PBL is a rare malignancy that primarily affects postmenopausal women, with diagnosis relying on radiologic investigations and histopathology due to its clinical and imaging similarities to breast carcinoma. Treatment is controversial and often involves rituximab-based chemotherapy, intrathecal methotrexate, and radiotherapy, with improved outcomes observed in recent years. https://karger.com/article/doi/10.1159/000543952
spellingShingle Ahmad Al-Bitar
Amnah Zahreddin
Mohammed Shwin
Abdullah Barbar
Alaa Dirani
Primary Breast Lymphoma in a Young Female: Non-Hodgkin’s Diffuse Large B-Cell Lymphoma in the Presence of Intact Breast Prostheses
Case Reports in Oncology
title Primary Breast Lymphoma in a Young Female: Non-Hodgkin’s Diffuse Large B-Cell Lymphoma in the Presence of Intact Breast Prostheses
title_full Primary Breast Lymphoma in a Young Female: Non-Hodgkin’s Diffuse Large B-Cell Lymphoma in the Presence of Intact Breast Prostheses
title_fullStr Primary Breast Lymphoma in a Young Female: Non-Hodgkin’s Diffuse Large B-Cell Lymphoma in the Presence of Intact Breast Prostheses
title_full_unstemmed Primary Breast Lymphoma in a Young Female: Non-Hodgkin’s Diffuse Large B-Cell Lymphoma in the Presence of Intact Breast Prostheses
title_short Primary Breast Lymphoma in a Young Female: Non-Hodgkin’s Diffuse Large B-Cell Lymphoma in the Presence of Intact Breast Prostheses
title_sort primary breast lymphoma in a young female non hodgkin s diffuse large b cell lymphoma in the presence of intact breast prostheses
url https://karger.com/article/doi/10.1159/000543952
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