PMC4898173_01
75-year-old woman with primary breast lymphoma. Mammogram of the right breast, CC view. Note a large oval isodense mass (arrows) with indistinct margins at 1 o'clock extending from anterior to posterior depth without associated calcifications. A BB marks the site of palpable abnormality.
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fig1A
The diagnostic mammogram (Figure 1A, Figure 1B, Figure 1C, Figure 1D), revealed a large, new, oval, isodense mass with indistinct margins at 1 o'clock extending from anterior to posterior depth without associated calcifications.
75-year-old woman with primary breast lymphoma. Mammogram of the right breast, ML view. Note a large oval isodense mass (arrows) with indistinct margins at 1 o'clock extending from anterior to posterior depth without associated calcifications. A BB marks the site of palpable abnormality.
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fig1B
Ultrasound demonstrated a 44 x 20 x 44-mm heterogeneous, hypoechoic oval mass parallel to the chest wall with circumscribed and microlobulated margins and increased vascularity, at 1 o'clock 3 cm from the nipple (Figure 2A, Figure 2B).
75-year-old woman with primary breast lymphoma. Mammogram of the right breast, spot magnification, CC view. Note a large oval isodense mass (arrows) with indistinct margins at 1 o'clock extending from anterior to posterior depth without associated calcifications. A BB marks the site of palpable abnormality.
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fig1C
In this case, there was a single, large axillary lymph node with an abnormal appearance, as demonstrated by loss of the normal reniform shape and development of eccentric, bulbous, cortical thickening with slitlike configuration of the hilum, multiple feeding vessels, and marked cortical vascularity (Figure 3A, Figure 3B, Figure 3C).
75-year-old woman with primary breast lymphoma. Mammogram of the right breast, spot magnification, ML view. Note a large oval isodense mass (arrows) with indistinct margins at 1 o'clock extending from anterior to posterior depth without associated calcifications. A BB marks the site of palpable abnormality.
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fig1D
The malignant cells have scant cytoplasm, large vesicular nuclei with prominent nucleoli, and irregular nuclear membranes (Fig. 4).