Clinical Pathology (Sep 2024)

Primary Breast Lymphoma: A Case Report of a Common Tumor in an Uncommon Location

  • Alex Mremi,
  • Hilary Chipongo,
  • Ellyagape Urassa,
  • Elifuraha Mkwizu,
  • Jay Lodhia

DOI
https://doi.org/10.1177/2632010X241276947
Journal volume & issue
Vol. 17

Abstract

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Primary breast lymphoma (PBL) is a rare malignant lymphoid neoplasm limited to the breast, accounting for about 0.15% of all malignant breast tumors and 1.7% to 2.2% of extra-nodal lymphomas. PBL must be distinguished from conventional breast carcinomas due to different therapeutic approaches. A 25-year-old female presented with a left breast mass. Histopathology and immunohistochemical tests confirmed the diagnosis of diffuse large B-cell lymphoma (DLBCL). She had no similar lesions elsewhere in the body. She received 1 cycle of R-CHOP chemotherapy but absconded from the treatment and succumbed afterward while at home. Recent developments in DLBCL treatment have greatly improved patient outcomes by incorporating targeted medicines like rituximab, increased chemotherapy regimens, new drugs, and individualized treatment techniques. PBL appears to have a worse prognosis; thus, delay or abscondment from treatment is of serious concern when it comes to improving the prognosis of patients with PBL.