Two cases of primary non-Hodgkin's lymphoma of female breast: Role of fine-needle aspiration cytology and cell-block immunohistochemistry

Diagn Cytopathol. 2016 Mar;44(3):235-40. doi: 10.1002/dc.23409. Epub 2015 Dec 21.

Abstract

Primary breast lymphoma (PBL) is an uncommon neoplastic condition. Though HIV-infection is a known risk factor for the development of extranodal lymphomas, mammary involvement is still a rarity. Radiologically, PBL appears as well circumscribed, heteroechoic, noncalcifying mass. Fine-needle aspiration cytology (FNAC) is commonly used to diagnose this neoplasm; however, subcategorization requires immunophenotypic characterization of the neoplastic cells. Herein, we report two cases of PBL, including a HIV-infected lady; in both the cases FNAC expressed features of non-Hodgkin's lymphoma. Finally, immunohistochemistry on cell-block with CD20 diagnosed both the cases as diffuse large B-cell lymphoma (DLBCL).

Keywords: breast; cell block; diffuse large B-cell lymphoma; fine-needle aspiration cytology; non-Hodgkin's lymphoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy, Fine-Needle
  • Breast Neoplasms / pathology*
  • Female
  • Humans
  • Immunohistochemistry
  • Lymphoma, AIDS-Related / pathology*
  • Lymphoma, Large B-Cell, Diffuse / pathology*
  • Lymphoma, Non-Hodgkin / pathology*
  • Middle Aged