Abstract

Primary extranodal lymphoma of the breast is rare and accounts for 0.04 - 0.53% of all malignant tumours, less than 1% of non-Hodgkin’s lymphomas (NHLs) and 1.7% of extranodal NHLs.1 Extranodal lymphoma arises from tissue other than lymph nodes and sites that normally contain no lymphoid tissue. This case describes the clinical and treatment dilemma posed by extranodal presentation in an AIDS-NHL patient.

Highlights

  • Cerebrospinal fluid (CSF) examination was negative for lymphoma infiltration

  • CHEMOTHERAPY The standard CHOP regimen consisting of cyclophosphamide 750 mg/ m2, doxorubicin 50 mg/m2 and vincristine 1.4 mg/m2 on day 1 and prednisone 60 mg/day on days 1 - 5 every 3 weeks was started

  • The left axillary lymph node and breast mass had the appearance of breast cancer with erythema, oedema and nipple retraction

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Summary

Introduction

Primary extranodal lymphoma of the breast is rare and accounts for 0.04 - 0.53% of all malignant tumours, less than 1% of non-Hodgkin’s lymphomas (NHLs) and 1.7% of extranodal NHLs.[1]. CASE REPORT A 40-year-old woman presented with a history of a painful left axillary mass that had progressively increased in size. Physical examination revealed a 17×13 cm left axillary nodal mass.

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