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Breast leukemia: an update
Alexey Surov1, Andreas Wienke, Jasmin Abbas
1Department of Radiology, Martin-Luther-University of Halle-Wittenberg, Germany. alex.surow@medizin.uni-halle.de
Acta Radiologica (Stockholm, Sweden : 1987)
|April 13, 2012
Summary
Breast leukemia (BL) is rare, with acute myeloid leukemia being the most common type. Clinical and radiological features of BL are non-specific but crucial for diagnosis in leukemia patients.
Area of Science:
- Oncology
- Hematology
- Radiology
Background:
- Breast leukemia (BL) is an exceptionally rare manifestation.
- Existing literature primarily consists of case reports lacking statistical data.
Purpose of the Study:
- To delineate the clinical signs and radiological characteristics of breast leukemia.
- To enhance diagnostic capabilities for this rare condition.
Main Methods:
- Systematic literature review of PubMed and Medline databases (1980-2010).
- Keywords used: 'breast leukemia' and 'leukemia of the breast'.
- Analysis of 139 identified patient cases.
Main Results:
- Acute myeloid leukemia (AML) was the most frequent diagnosis (61.2%).
- Leukemic involvement of the breast occurred as an initial manifestation (17.3%) or relapse (42.4%).
- Clinical presentation often included palpable, painless breast masses (73%); imaging revealed non-specific patterns like breast masses, architectural distortion, or normal findings.
Conclusions:
- Clinical and radiological features of breast leukemia are non-specific.
- Breast leukemia must be considered in the differential diagnosis of breast disorders, particularly in patients with a history of leukemia.
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