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Is re-biopsy necessary for benign breast cytology? – a case report of an occult rare malignancy: marginal zone lymphoma of the breast
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Case report
VOLUME: 50 ISSUE: 3
P: 269-272
2017

Is re-biopsy necessary for benign breast cytology? – a case report of an occult rare malignancy: marginal zone lymphoma of the breast

Acta Haematol Oncol Turc 2017;50(3):269-272
DOI: 10.5505/aot.2017.84856
Funda Ulu Öztürk
Şehnaz Tezcan
Nihal Uslu
1. Department of Radiology, Başkent University, Ankara, Turkey
2.
No information available.
No information available
Received Date: 2017-09-08T19:01:55
Accepted Date: 2017-12-19T15:54:09
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Abstract

Primary breast lymphoma is a rare entity which does not have specific imaging features. It can involve one or both breasts as well as regional lymph nodes. Radiological algorithm is essential for breast lumps as well as follow-ups. We report here a case of a 77 year-old woman with a mass in her left breast, which was lead to biopsy priorly and resulted in benign cytological findings. Re-biopsy due to the enlargement of the mass in follow-up revealed marginal zone lymphoma. After a staging work-up she was found to have a local disease in stage IE. She was treated only with radiotherapy and is now in complete remission after 13 months. Fine needle aspiration alone is inadequate for primary breast lymphoma, regarding the difficulty of its defect of distinguishing lymphoid cells from reactive lymphocytes. Either adequate tissue biopsy, by a core needle or excisional biopsy, or close follow-ups are needed for suspicious breast masses, presented as in this case.