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Case Reports in Oncological Medicine
Volume 2013 (2013), Article ID 412368, 4 pages
http://dx.doi.org/10.1155/2013/412368
Case Report

Bilateral Breast Masses with a Rare Etiology

1Department of Gynecology and Obstetrics, University Hospital Basel, 4031 Basel, Switzerland
2Clinic of Gynecological Endocrinology and Reproductive Medicine, University Hospital Basel, 4031 Basel, Switzerland
3Department of Gynecologic Oncology, University Hospital Basel, 4031 Basel, Switzerland
4Department of Medical Oncology, University Hospital Basel, 4031 Basel, Switzerland

Received 6 July 2013; Accepted 28 July 2013

Academic Editors: Y.-J. Chen, D. V. Jones, R. Palmirotta, C. V. Reyes, and K. Tanaka

Copyright © 2013 Friederike Thieringer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Breast masses have a variety of benign and malignant etiologies. We present the case of a 28-year-old woman with bilateral large painful breast masses that developed rapidly in the three weeks before first presentation. Further investigation revealed bilateral ovarian masses. Biopsies of both ovarian masses were taken, and the pathology reported Burkitt’s lymphoma. Additional staging with a PET scan was suggestive of bone marrow involvement, but bone marrow biopsy was negative. Examination of the cerebrospinal fluid did not identify malignant cells. The patient underwent CODOX-M/IVAC chemotherapy, and a complete response was demonstrated after one cycle of treatment. Six months after finishing chemotherapy the patient remained in complete remission. To our knowledge this is the first case reporting simultaneous involvement of breast, ovaries, and bones in Burkitt’s lymphoma. Gynecologists and oncologists should be aware of this pattern. Polychemotherapy treatment must be initiated rapidly with curative intent.