Primary breast lymphoma of childhood: a case report and review of literature

• Main Authors: Giulia A. Restivo (Author), Marta Pillon (Author), Lara Mussolin (Author), Clara Mosa (Author), Angela Guarina (Author), Angela Trizzino (Author), Salvatore Ialuna (Author), Elisa Carraro (Author), Emanuele S.G. D'Amore (Author), Giovanna Russo (Author), Caterina Elia (Author), Maurizio Mascarin (Author), Adriana Zangara (Author), Paolo D'Angelo (Author), Piero Farruggia (Author)
• Format: Book
• Published: BMC, 2021-11-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Abstract Background Primary breast lymphoma (PBL) is an extremely rare neoplasm in children; by definition, it manifests in the breast without evidence of lymphoma elsewhere, except ipsilateral axillary nodes. Case presentation We report a case of a 15-year-old girl diagnosed with diffuse large B-cell lymphoma (DLBCL) of the right breast: the patient received chemotherapy and rituximab, achieving complete remission. A literature review revealed other 11 cases of pediatric PBL; it mainly affects female adolescents and can involve right and left breast equally. Different histologic subtypes have been described, arising from both B-cell and T-cell. Therapeutic approaches were very different, from chemotherapy to local treatment with surgery and/or radiotherapy. Conclusions Our case is the first in which rituximab was administered, suggesting to be a promising therapy in B-cell PBL, as already demonstrated in pediatric B-cell lymphoma from other sites. Further investigations are needed to identify prognostic factors and establish the most effective treatment.

Item Description

10.1186/s12887-021-03002-6
1471-2431