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Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
CABISTANY-ESQUE, AC et al. Non Hodgkin lymphoma stage IV with breast and vaginal metastasis. Ginecol. obstet. Méx. [online]. 2018, vol.86, n.1, pp.62-69. ISSN 0300-9041. https://doi.org/10.24245/gom.v86i1.1609.
BACKGROUND:
The mammary affectation by a lymphoma is not frequent; it almost always involves type B lymphomas. It is characterized by a lack of clinical and radiological specificity, which makes differential diagnosis difficult with mammary tumors of another origin.
CLINICAL CASE:
A 72-year-old patient with a history of hypercholesterolemia, hypertension, osteoarthritis and depression, with two deliveries and menopause at 55 years of age. Mother with a history of postmenopausal breast cancer. The mammography of the right breast reported the existence of a retroareolar mass of 8 cm, of ill-defined contours and an axillary adenopathy with cortical thickening. The biopsy reported a high-grade non-Hodgkin B lymphoma. 8 cycles of chemotherapy were administered with the R-CHOP scheme. After this procedure, the PET-CT showed a residual, metabolically inactive right mammary lesion, with nodal or extramammary supra or infradiaphragmatic disease.
CONCLUSIONS:
A malignant mammary neoplasm is not always a ductal or lobular carcinoma. It is necessary to evaluate the possibility of other histological strains or, even, of a metastatic affectation. The adequate interview and exploration are fundamental for a good diagnostic orientation.
Palabras llave : Mammary; mammary tumors; postmenopausal breast cancer; non Hodgkin; lobular carcinoma.