Abstract
IntroductionBreast lymphoma accounts for less than 1% of all non-Hodgkin's lymphomas and approximately 0.1% of all breast neoplasms. Most breast lymphomas are classified as diffuse large B-cell lymphomas or as mucosa associated lymphoid tissue lymphomas. Concurrent cases of breast lymphoma and cervical cancer are extremely rare.Case presentationWe report a case of a 46-year-old woman of unknown ethnic origin diagnosed with concurrent diffuse large B-cell lymphoma of the breast and squamous cell cancer of the cervix that was detected and followed with F-18 fluorodeoxyglucose (FDG) positron emission tomography and/or computed tomography (PET/CT). The metastatic pattern of this case of breast lymphoma is similar to that of a typical metastatic breast carcinoma. These findings have never been described in the literature. PET/CT also demonstrated an incidentally intense FDG focus in the uterine cervix ultimately leading to the pathologic diagnosis of squamous cell carcinoma of the uterine cervix. An appropriate staging of breast lymphoma and cervical cancer with FDG PET/CT is important because of therapeutic consequence. This case report and review of the literature highlights the role of FDG PET/CT in staging and restaging of both breast lymphoma and cervical cancer.ConclusionsWe report a case of a breast lymphoma with a metastatic pattern similar to that of typical metastatic breast carcinoma. The FDG PET/CT scan also diagnosed a rare case of concurrent breast lymphoma and cervical cancer. This concurrence has not been reported previously in the medical literature.
Highlights
Breast lymphoma accounts for less than 1% of all non-Hodgkin’s lymphomas and approximately 0.1% of all breast neoplasms
We report a case of a breast lymphoma with a metastatic pattern similar to that of typical metastatic breast carcinoma
The FDG positron emission tomography and/or computed tomography (PET/computed tomography (CT)) scan diagnosed a rare case of concurrent breast lymphoma and cervical cancer
Summary
This case report shows a breast lymphoma case of a patient with a metastatic pattern similar to that of typical metastatic breast carcinoma. The FDG PET/CT scan diagnosed an extremely rare case of concurrent breast lymphoma and cervical cancer. Author details 1Department of Radiology, Division of Nuclear Medicine, Saint Louis University, 3635 Vista Avenue (at Grand Avenue), Saint Louis, MO, 63110, USA. Authors’ contributions NCN is the senior author and was involved in collecting patient information, reviewing the literature and doing the final proofreading of the manuscript. Iğdem S, Okkan S, Unalan B, Iğdem A, Ferhanoğlu B: Cervical cancer coexisting with small lymphocytic lymphoma detected during positron emission tomography/computed tomography simulation: a case report. Doi:10.1186/1752-1947-4-282 Cite this article as: Nguyen et al.: F-18 fluorodeoxyglucose positron emission tomography and/or computed tomography findings of an unusual breast lymphoma case and concurrent cervical cancer: a case report.
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