RESUMEN
A 30-year-old male was admitted with bilateral painful breast enlargement of 6 months duration. There was a past history of surgery for similar bilateral swellings, which was then diagnosed as fibrocystic disease. On examination both breasts were firm to hard, tender & adherent to deeper structures. A single axillary lymph node was palpable on each side. The clinical diagnosis was sarcoma of the breast. After initial denial, the patient confessed to having injected gear oil into both the breasts,for the purpose of augmentation. He was a homosexual.
Asunto(s)
Enfermedades de la Mama/patología , Granuloma de Cuerpo Extraño/patología , Aceites Industriales/toxicidad , Adulto , Enfermedades de la Mama/etiología , Enfermedades de la Mama/psicología , Granuloma de Cuerpo Extraño/etiología , Granuloma de Cuerpo Extraño/psicología , Homosexualidad Masculina , Humanos , Masculino , Conducta Autodestructiva/patología , Conducta Autodestructiva/psicologíaRESUMEN
Lymphoid infiltrates of the salivary gland can be either reactive or neoplastic. The reactive lesion, lymphoepithelial sialadenitis (LESA) may be associated with Sjogren's syndrome (SS) or may occur as an isolated salivary gland enlargement. Patients with LESA/SS have a particularly high risk of subsequently developing lymphoma, which is a low-grade mucosa-associated lymphoid tissue (MALT) type lymphoma of the salivary gland. We document a rare case of primary non-Hodgkin's lymphoma of the parotid gland arising in the background of LESA and with a rare example of transformation from low grade to high-grade B cell lymphoma of MALT type.