A CASE OF PRIMARY MALIGNANT LYMPHOMA OF THE BREAST PREOPERATIVELY DIAGNOSED BY ASPIRATION BIOPSY CYTOLOGY

Abstract

Primary malignant lymphoma of the breast is rare, and preoperative correct diagnosis is difficult to make. A case of primaly malignant lymphoma of the breast which was preoperatively detected by aspiration biopsy cytology is reported referring the literature.A 57-year-old woman was seen at the hospital because of an elastic hard and smooth tumor, 45×45 mm in size, the right breast. One right axillary lymphnode 20×15 mm was also palpable. The tumor was diagnosed as malignant lymphoma by aspiration biopsy cytology, and a standard radical mastectomy was performed. Histological diangosis was malignant lymphoma, diffuse medium cell type in LSG classification. Staging according to Ann-Arbor's classification was IIE. Eight courses of adjuvant chemotherapy (CHOP) were carried out postoperatively using human granulocyte colony-stimulating factor (G-CSF) due to granulocytopenia. No evidence of recurrence has been observed for nine months following the operation.