Pan African Medical Journal

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Enorme tuméfaction mammaire bilatérale révélant une leucémie aigue (a propos d’un cas)

Lamiae Boutkhil, Moulay Abdelilah Melhouf


A 27-year-old woman, presented to the Emergency Department with swelling of breasts, twelve days after childbirth. Physical examination found a huge tumefaction of breasts, without inflammatory sign or nipple discharge. The patient was put under anti edematous while waiting for the Breast ultrasound. After 35 days, she had a dyspnoea (stage IV) without chest pain. Then, physical examination finds swollen breasts, bilateral cervical lymphadenopathy, one axillary node, inguinal left lymphadenopathy, and gingival hypertrophy. Acute leukemia is diagnosed. Acute leukemia is a cancer of hematopoietic stem cells, characterized by clonal proliferation of hematopoietic precursor cells. The result is a hypertrophy of hematopoietic organs: lymphadenopathies, hepatomegaly, and splenomegaly are frequent, but no case of breast hypertrophy has been described. We report an historical case of acute leukemia revealed by bilateral breast tumefaction.

Pan African Medical Journal 2016; 23
AJOL African Journals Online