Evidence map›Paper›PMID 33339535›Full record

ArticleJournal of medical case reports2020

Double-hit lymphoma of the male breast: a case report.

Shaymaa Elgaafary, Inga Nagel, Cristina López, Susanne Bens, Monika Szczepanowski, Rabea Wagener, Wolfram Klapper, Reiner Siebert

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Shaymaa ElgaafaryInstitute of Human Genetics, Ulm University and Ulm University Medical Center, D-89081, Ulm, Germany.
Inga NagelInstitute of Human Genetics, Christian-Albrechts University Kiel and University Hospital Schleswig-Holstein, Campus Kiel, D-24105, Kiel, Germany.
Cristina LópezInstitute of Human Genetics, Ulm University and Ulm University Medical Center, D-89081, Ulm, Germany.
Susanne BensInstitute of Human Genetics, Ulm University and Ulm University Medical Center, D-89081, Ulm, Germany.
Monika SzczepanowskiDepartment of Internal Medicine II (Hematology), Laboratory of Hematology, University Hospital, Schleswig-Holstein Campus Kiel, D-24105, Kiel, Germany.
Rabea WagenerInstitute of Human Genetics, Ulm University and Ulm University Medical Center, D-89081, Ulm, Germany.
Wolfram KlapperHematopathology Section and Lymph Node Registry, Institute of Pathology Christian-Albrechts University Kiel and University Hospital Schleswig-Holstein, Campus Kiel, D-24105, Kiel, Germany.
Reiner SiebertInstitute of Human Genetics, Ulm University and Ulm University Medical Center, D-89081, Ulm, Germany. reiner.siebert@uni-ulm.de.
University Hospital Schleswig-Holstein · DEUniversity of Lübeck · DEKiel University · DEUniversität Ulm · DE

Funding

BMBF 0316166I
6 · The paper itself

Abstract

backgroundWhereas lymphoma of the female breast is already rare, lymphoma of the male breast has only anecdotally been reported. Within a study of 32 lymphoma of the breast reported between 1973 and 2014 as Burkitt lymphoma, we observed a single male case, which we report here. CASE PRESENTATION: A 72-years-old Caucasian man presented with a mass in his left breast. Clinical history included prior basal cell carcinoma, leiomyosarcoma, and administration of spironolactone. The reference pathology diagnosis at presentation was Burkitt lymphoma according to the Kiel Classification. The present re-investigation using fluorescence in situ hybridization revealed an IGH-MYC translocation and a break in the BCL2 locus in the tumor cells. Thus, in light of the current WHO classification, the diagnosis was revised to high-grade B-cell lymphoma with MYC and BCL2 rearrangement, Burkitt morphology (so-called "double-hit" lymphoma). Genome-wide chromosomal imbalance mapping revealed a complex pattern of aberrations in line with this diagnosis. The aberrations, including copy-number gains in chromosomes 3q and 18 and focal homozygous loss in 9p21.3, resembled typical changes of lymphomas affecting "immune-privileged" sites.

conclusionThe present case adds to the understanding of the pathogenesis of male breast lymphomas, about which hardly any molecular characterization has been published yet.

Indexed as

Burkitt LymphomaLymphoma, B-CellAgedFemaleHumansIn Situ Hybridization, FluorescenceMaleProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-mycTranslocation, GeneticProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-mycBCL2breastBurkittLymphomamaleMYC

Identifiers

PMID33339535
PMCPMC7747391
OpenAlexW3112029831

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.