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Acute lymphoblastic leukemia presented as multiple breast masses.

Ilkay Koray Bayrak¹, Turkay Yalin, Zafer Ozmen

¹Department of Radiology, Ondokuz Mayis University, School of Medicine, Samsun, Turkey. ilkaykoray@hotmail.com

Korean Journal of Radiology

|September 2, 2009

Summary

Breast metastases are rare in leukemia, typically seen in acute myeloid leukemia. This case highlights breast involvement in a patient with acute T cell lymphoblastic leukemia, showing unusual imaging findings.

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Area of Science:

Oncology
Radiology
Hematology

Background:

Breast metastases from leukemia are exceptionally rare, with most documented cases involving acute myeloid leukemia.
This report focuses on a unique presentation of breast involvement in a patient diagnosed with acute T cell lymphoblastic leukemia.

Observation:

The patient, a 30-year-old woman, presented with mammographic findings of extremely dense breasts containing ill-defined, denser mass-like lesions bilaterally.
Ultrasonography revealed bilateral, lobular-shaped, partly ill-defined hypoechoic masses with a characteristic multi-septated nodular (mottled) appearance.

Findings:

This case documents breast metastases in acute T cell lymphoblastic leukemia, a presentation not commonly reported.
The imaging characteristics observed on mammography and ultrasound are detailed, offering insights into the visual presentation of such rare metastases.

Keywords:

Acute lymphoblastic leukemia Breast metastasis Mammography Ultrasonography

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Implications:

This case expands the understanding of leukemia's potential metastatic sites, emphasizing the need for vigilance in diagnosing breast lesions in leukemia patients.
The findings underscore the importance of integrating imaging findings with clinical context for accurate diagnosis of rare oncological presentations.