Bilateral breast masses as a presentation for T-cell acute lymphoblastic leukaemia
Mosalem O, Abu Rous F, Elshafie A, and Isaac D. Bilateral breast masses as a presentation for T-cell acute lymphoblastic leukaemia. BMJ Case Rep 2020; 13(8).
BMJ Case Rep
Here we describe a 27-year-old woman, 5 months post partum, who presented to the emergency department with bilateral breast masses. She was initially treated as lactational mastitis with no improvement. Breast ultrasound showed bilateral breast and axillary lymphadenopathy suggestive of metastatic/neoplastic process, and chest X-ray showed a large anterior mediastinal mass. Further work-up led to the diagnosis of T-cell acute lymphoblastic leukaemia. The patient was started on a paediatric regimen using the children's oncology group AALL0434 protocol. The patient achieved a complete remission following induction chemotherapy with resolution of her presenting symptoms.