Engelsk titel: Borrelia lymphocytoma in the breast
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Författare:
Hörby J
;
Sjö LD
;
Strålman K
Email: jhoerby@dadl.dk
Språk: Dan
Antal referenser: 5
Dokumenttyp:
Fallbeskrivning
UI-nummer: 05041555
Sammanfattning
We present the case of a 44-year-old woman who discovered a tumour under her right nipple. There was no history of tick bite by Ixodes ricinus or any early sign of infection with Borrelia. The lesion was recognisable only on mammography. A cutaneous biopsy provided the diagnosis of cutaneous lymphoid hyperplasia, and blood samples showed elevated Borrelia burgdorferi antibody IgG titre levels. The patient was treated with peroral phenoxymethylpenicillin for 10 days, and at a clinical control six weeks later the subareolar lesion was no longer recognisable. Subareolar tumors in women of are often malignant, i.e. breast cancer, or due to infections in the mammary duct system. Malignant conditions must first be ruled out, but mammography as a supplementary examination might be indicated in young women with retroareolar tumors, even though mammography as a primary diagnostic tool normally is not used in women below the age of 30. The taking of a thorough medical history is also essential.