Non-Hodgkin’s Lymphoma of the Breast: An Unusual Case Report

Main Article Content

Andreia Mandim
Maria Eduarda Couto
Raquel Oliveira
Raquel Santos

Abstract

Primary breast lymphoma is a rare condition accounting for less than 0.5% of all breast malignancies. It typically presents as a solitary mass in women aged 50–60, with clinical and imaging features mimicking breast carcinoma. We present the case of a 60-year-old woman with a right breast nodule diagnosed as marginal zone lymphoma (MZL) by histology. The patient was treated with R-CHOP immunochemotherapy followed by radiotherapy, achieving complete remission with 24 months of sustained follow-up. This case highlights the importance of early histological diagnosis, the occasional diagnostic role of surgery, and the controversies surrounding treatment strategies for breast MZL.

Article Details

How to Cite
Mandim, A., Couto, M. E., Oliveira, R., & Santos, R. (2025). Non-Hodgkin’s Lymphoma of the Breast: An Unusual Case Report. Brazilian Journal of Case Reports, 6(1), bjcr116. https://doi.org/10.52600/2763-583X.bjcr.2026.6.1.bjcr116
Section
Clinical Case Reports
Author Biographies

Andreia Mandim, Department of Internal Medicine, Local Health Unit of Póvoa de Varzim/Vila do Conde

Department of Internal Medicine, Local Health Unit of Póvoa de Varzim/Vila do Conde, Portugal.

Maria Eduarda Couto, Hematology Unit, Department of Internal Medicine, Local Health Unit of Póvoa de Varzim/Vila do Conde

Hematology Unit, Department of Internal Medicine, Local Health Unit of Póvoa de Varzim/Vila do Conde, Portugal.

Raquel Oliveira, Department of Internal Medicine, Local Health Unit of Póvoa de Varzim/Vila do Conde

Serviço de Medicina Interna, Unidade Local de Saúde Póvoa de Varzim/Vila do Conde, Portugal.

Raquel Santos, Department of Internal Medicine, Local Health Unit of Póvoa de Varzim/Vila do Conde

Department of Internal Medicine, Local Health Unit of Póvoa de Varzim/Vila do Conde, Portugal.

References

Liu Y, Wang J, Li X, et al. Primary breast marginal zone lymphoma: population-based analysis of incidence, treatment, and survival outcomes. Front Oncol. 2020;10:609512. doi:10.3389/fonc.2020.609512.

Deantonio L, Mazzola R, Trovò M, et al. Radiation therapy of extranodal marginal zone lymphomas. Ann Lymphoma. 2020;4:11. doi:10.21037/aol-20-37.

James S, Patel R, Thompson J, et al. Primary breast marginal zone lymphoma: a rare indolent entity with diagnostic and therapeutic challenges. JPRAS Open. 2022;33:16–20. doi:10.1016/j.jpra.2022.02.007.

Walewska R, Smith A, Brown K, et al. British Society for Haematology guidelines for the diagnosis and management of marginal zone lymphomas. Br J Haematol. 2024;205(1):45–63. doi:10.1111/bjh.19064.

National Cancer Institute. PDQ® Adult Treatment Editorial Board. Indolent B-cell non-Hodgkin lymphoma treatment (PDQ®): health professional version. Updated 2025. Available from: https://www.cancer.gov/types/lymphoma/hp/indolent-b-cell-lymphoma-treatment-pdq.

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