Our Summary

This research paper talks about an unusual case of breast lymphoma. Breast lymphoma is extremely rare, making up less than 0.5% of all breast cancers. It usually looks like typical breast cancer, with a painless lump being the primary symptom. This study describes a 74-year-old woman who had a large 13 cm lymphoma in her breast. The woman had noticed the lump in her breast since the 1970s and had had multiple benign (non-cancerous) lumps removed from her breasts in the past. In 2017, a mammogram showed a suspicious-looking lump in her right breast and swollen lymph nodes in her armpit. She did not return for follow-up until the lump had grown significantly. Further testing confirmed that the large lump was a type of lymphoma known as diffuse large B-cell lymphoma. The woman will start chemotherapy as her treatment.

FAQs

  1. What is breast lymphoma and how common is it?
  2. What are the typical symptoms of breast lymphoma?
  3. What type of lymphoma was found in the 74-year-old woman’s breast and what is the treatment plan?

Doctor’s Tip

A doctor might tell a patient undergoing a breast biopsy to follow post-procedure care instructions carefully, including keeping the biopsy site clean and dry, avoiding strenuous activity or heavy lifting for a few days, and watching for signs of infection such as increased pain, redness, or swelling. They may also advise the patient to follow up with their healthcare provider for the biopsy results and discuss next steps in treatment or monitoring. It’s important for the patient to stay informed and ask any questions they may have about the biopsy process and results.

Suitable For

Patients who are typically recommended breast biopsy include those with:

  1. Suspicious findings on a mammogram or ultrasound, such as a lump or mass in the breast
  2. Abnormalities detected on a breast MRI
  3. Persistent breast symptoms, such as pain, swelling, or nipple discharge
  4. Personal or family history of breast cancer
  5. Previous benign breast biopsies with new concerning findings
  6. Abnormal results on a breast physical exam

It is important for patients to follow up with their healthcare provider if they notice any changes in their breasts or have any concerning symptoms. Early detection and diagnosis of breast cancer, including rare types like breast lymphoma, can lead to better treatment outcomes and prognosis.

Timeline

Before breast biopsy:

  1. Patient notices a painless lump in the breast.
  2. Patient undergoes a mammogram to assess the lump.
  3. Mammogram shows a suspicious-looking lump in the breast.
  4. Further testing, such as ultrasound or MRI, may be done to gather more information.
  5. Patient may experience anxiety and worry while waiting for results.
  6. Patient may delay follow-up appointments due to fear or other reasons.

After breast biopsy:

  1. Biopsy is performed to remove a sample of the suspicious tissue.
  2. Pathology report confirms the diagnosis, in this case, breast lymphoma.
  3. Treatment plan is discussed with the patient, which may include surgery, chemotherapy, radiation therapy, or a combination of these.
  4. Patient may experience a range of emotions, including fear, anger, and sadness.
  5. Patient begins treatment, in this case, chemotherapy.
  6. Patient may experience side effects of treatment, such as hair loss, fatigue, and nausea.
  7. Patient undergoes regular follow-up appointments to monitor response to treatment and overall health.

What to Ask Your Doctor

  1. What type of biopsy will be performed on my breast lump?
  2. How will the biopsy results be used to determine a diagnosis?
  3. What are the risks and potential complications of having a breast biopsy?
  4. How long will it take to receive the results of the biopsy?
  5. What treatment options will be available to me if the biopsy shows cancer?
  6. Will I need additional tests or imaging studies after the biopsy?
  7. What are the chances of the lump being a rare form of breast cancer, such as lymphoma?
  8. How often should I follow up with you after the biopsy procedure?
  9. Are there any lifestyle changes or precautions I should take while waiting for the biopsy results?
  10. Can you refer me to a specialist or cancer center for further evaluation and treatment if necessary?

Reference

Authors: Breese RO, Friend K. Journal: Am Surg. 2022 Aug;88(8):1891-1892. doi: 10.1177/00031348221084964. Epub 2022 Apr 14. PMID: 35420924