Male Breast Imaging Uncovers Lymphoma

• Type of Material: Article
• Authors: Luma Abunimer, Virginia Tech Carilion School of Medicine; Sophia R O'brien, The Hospital of the University of Pennsylvania; Nabil Calisi, Emory University
• Language: English
• Date: 2023-01-01
• Publisher: Radiology Case Reports
• Publication Version: Final Published Version
• Copyright Statement: Journal of Radiology Case Reports
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.3941/jrcr.v17i2.4508
• Title of Journal or Parent Work: Journal of Radiology Case Reports
• Volume: 17
• Issue: 2
• Start Page: 1
• End Page: 8
• Keywords: Lymphoma; Axillary; Hodgkin Disease; Lymphoproliferative; Mammography; Adult; Ultrasound; Humans; Breast; MRI; Hodgkin; Male; Positron Emission Tomography Computed Tomography
• Research Categories: Health Sciences, Radiology

Abstract

Background: A 36-year-old man presented with a palpable mass in the right axillary tail for four months. He was referred to breast imaging for diagnostic work-up. He does not have a family history of breast cancer. Aim: Breast imaging work-up for diagnosis of lymphoma is unusual and even more so in a male patient. Case presentation: After Breast Mammography and targeted Ultrasound of the axillary tail and axilla, Magnetic Resonance Imaging (MRI) was performed and suggested lymphoproliferative disorder. Excisional biopsy was performed after the breast MRI with removal of right axillary tissue measuring 15.0 x 5.5 x 2.0 cm and containing multiple lymph nodes. Excisional biopsy revealed Classic Hodgkin lymphoma of nodular sclerosis type. Staging [18F]-FDG PET/CT revealed early stage of disease. Conclusion: The presentation and diagnostic elements of Hodgkin Lymphoma are described in this case report emphasizing the significance of breast imaging in multiple populations.