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《Chinese Journal of Medical Imaging Technology》 2011-01
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Ultrasonographic features and clinical,histopathological characteristics of primary breast lymphoma

WANG Lei,LIU He,JIANG Yu-xin,DAI Qing,ZHANG Jing,TAN Li(Department of Ultrasound,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China)  
Objective To observe the ultrasonographic features of primary breast lymphoma and its clinical and histopathological characteristics.Methods Nine patients with primary breast lymphoma(totally 11 masses) confirmed histopathologically were retrospectively reviewed.Results Among the 9 breast lymphoma patients,4 masses located in the right breasts and 3 located in the left.Two patients had bilateral lesions.Eight masses located in the outer upper quadrant.The diameters of the masses were 1.5—9.0 cm(mean [2.87 ±2.09]cm).On ultrasound imaging,all masses were hypoecho,5 patients with extremely low echo,while 4 with asymmetry echo.The shape of mass was abnormal in 6 patients,indistinct margins were found in 5 patients,heterogeneous internal echo was detected in 4 patients,while posterior enhancement was noticed in 3 patients.Calcification was not found in all masses.On color Doppler flow imaging,abundant vascularity was detected in 6 patients.On gross histopathological examination,the tumors were pale yellow or pale pink colored,firm with mostly smooth margins.The masses in 7patients were non-Hodgkin lymphoma diffuse B cell type,1 was mucosa-associated lymphoid tissue lymphoma and 1 was T cell type.Conclusion Primary breast lymphoma has some ultrasonic characteristics,including hypoecho,outer quadrant location,posterior enhancement and abundant vascularity.Final diagnosis depends on the histopathology.Prognosis of primary breast lymphoma is related with its stage.
【Fund】: 国家自然科学基金(30900372)
【CateGory Index】: R737.9
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