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Bilateral breast masses with a rare etiology
Friederike Thieringer1, Gideon Sartorius, Katrin Kalf
1Department of Gynecology and Obstetrics, University Hospital Basel, 4031 Basel, Switzerland.
Case Reports in Oncological Medicine
|September 26, 2013
Summary
This case study highlights a rare presentation of Burkitt's lymphoma involving the breast, ovaries, and suspected bone marrow in a young woman. Prompt polychemotherapy led to a complete and sustained remission.
Area of Science:
- Oncology
- Hematology
- Gynecologic Oncology
Background:
- Breast masses can arise from various benign and malignant causes.
- Burkitt's lymphoma is an aggressive non-Hodgkin lymphoma with diverse presentations.
- Simultaneous involvement of breast and ovaries is an uncommon manifestation of Burkitt's lymphoma.
Purpose of the Study:
- To report a unique case of Burkitt's lymphoma presenting with bilateral breast and ovarian masses.
- To emphasize the importance of recognizing this rare pattern for timely diagnosis and treatment.
- To discuss the management and outcome of this specific presentation.
Main Methods:
- Case presentation of a 28-year-old woman with rapidly developing bilateral breast masses.
- Diagnostic workup including imaging (PET scan), biopsies (ovarian), and cerebrospinal fluid examination.
- Treatment with CODOX-M/IVAC chemotherapy regimen.
Main Results:
- Pathology confirmed Burkitt's lymphoma in bilateral ovarian masses.
- PET scan suggested bone marrow involvement, but bone marrow biopsy was negative.
- The patient achieved a complete response after one cycle of chemotherapy and remained in remission at six months.
Conclusions:
- This is the first reported case of simultaneous breast, ovarian, and suspected bone involvement in Burkitt's lymphoma.
- Gynecologists and oncologists must be vigilant for this rare presentation.
- Rapid initiation of polychemotherapy is crucial for curative intent in such cases.
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