Breast lymphoma: favorable prognosis after treatment with standard combination chemotherapy

Onkologie. 2006 Feb;29(1-2):14-8. doi: 10.1159/000090009.

Abstract

Purpose: This paper is to determine the clinicopathological features and outcome of patients with breast lymphoma seen at a single institution.

Patients and methods: We have reviewed data on 14 patients with breast lymphoma seen at our institution from 1990 to 2003.

Results: All patients were female, with a median age of 47.6 years. Diffuse large B-cell lymphoma (DLBCL) was observed in 9 cases, while follicular, Burkitt's, small lymphocytic, MALT and T-cell lymphoma were observed in 1 case each. 5 patients (35.7%) had stage IE disease, 6 patients (42.9%) had stage IIE disease and 3 patients (21.4%) had stage IV disease. Standard CHOP with or without rituximab was given to all patients with aggressive breast lymphoma (n = 10), while 1 patient with Burkitt's lymphoma received a CHOP-based regimen. The 3-year actuarial survival estimate among all 11 patients with aggressive breast lymphoma was 73%. Among those with localized disease, the estimated 3-year survival was 90%. The actuarial 3-year overall survival (OS) estimate for the entire cohort of 14 patients was 76.9%.

Conclusion: Our results indicate that breast lymphoma is not associated with an inferior outcome when treated with standard CHOP-based chemotherapy.

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / mortality*
  • Cyclophosphamide / administration & dosage
  • Doxorubicin / administration & dosage
  • Female
  • Humans
  • Lymphoma / drug therapy*
  • Lymphoma / mortality*
  • Middle Aged
  • Prednisone / administration & dosage
  • Prognosis
  • Retrospective Studies
  • Risk Assessment
  • Risk Factors
  • Singapore / epidemiology
  • Survival Analysis
  • Survival Rate
  • Treatment Outcome
  • Vincristine / administration & dosage

Substances

  • Vincristine
  • Doxorubicin
  • Cyclophosphamide
  • Prednisone

Supplementary concepts

  • CHOP protocol