J Korean Soc Radiol.  2023 Mar;84(2):454-459. 10.3348/jksr.2022.0062.

Relapsed Acute Myeloid Leukemia Presenting as Multiple Breast Masses: A Case Report

• Sung P
• Lee JY
• Chu AJ

• KMID: 2541159
• DOI: http://doi.org/10.3348/jksr.2022.0062

Abstract

Hematologic malignancy of the breast is very rare. Here, we report a case of relapsed acute myeloid leukemia (AML) presenting as multiple breast masses. A 77-year-old female visited an outpatient clinic reporting palpable masses in both breasts. She had a medical history of AML, which showed complete remission after nine cycles of chemotherapy. On mammography and ultrasonography, there were multiple masses correlated with her palpable symptoms accompanied by enlarged lymph nodes. Core needle biopsy immunohistochemistry (IHC) results indicated AML and blastic plasmacytoid dendritic cell neoplasm. AML was confirmed using bone marrow biopsy. Although very rare, when a patient with a history of hematologic malignancy presents a palpable mass in the breast, clinicians should conduct proper tissue analysis, including IHC stating for leukemic markers, to guide appropriate diagnosis and treatment.

Keyword

Leukemia; Myeloid; Acute; Breast; Mammography; Ultrasonography