Acute lymphoblastic leukemia presenting as a breast lump: A report of two cases

Acute lymphoblastic leukemia presenting as a breast lump: A report of two cases

Blog Article

Extra-medullary leukemic infiltration of the breast by acute lymphoblastic leukemia Moleskin Breeks (ALL) is very rare.We report two cases of ALL presenting as breast masses and diagnosed on fine-needle aspiration (FNA).Our first patient, a post-partum 30-year-old female, developed bilateral breast lumps in her last trimester of pregnancy and complained of easy fatigability.Our second patient, a 14-year-old girl, presented with a right-breast lump of 1-week duration.

She had received treatment for ALL 1 year back and had been in complete remission for the last 1 year.FNA of the breast nodules done in both the cases revealed diffuse infiltration by lymphoblasts.Subsequent hematological investigations confirmed Eco Palm Leaf Plates bone marrow involvement by ALL in the first case and extra-medullary relapse in the second case.Fine-needle aspiration cytology (FNAC) is an easy and cost effective method for the early diagnosis of metastatic leukemic infiltration, avoiding unnecessary excisional biopsies in such cases.