Balachandran I, Raman ML, Sankaran R

Non-Hodgkin’s lymphoma (NHL) of the breast is very rare and is mostly seen in young puerperal women

bilaterally or unilaterally and in older women with distinctly different clinicopathologic presentation. Bilateral

NHL is rarely seen in very young non-puerperal patients and such an entity with bone marrow involvement

along with a leukaemic phase in young patients has not been reported in literature. We report this case of

a 13 year old girl who presented with bilateral breast lumps and malaise with blasts in peripheral blood

smear. Fine needle aspiration cytology of breast helped in the diagnosis of NHL with leukaemic phase

thereby preventing further unnecessary work-up. Examination of the bone marrow was adopted to stage

the patient and initiate prompt treatment without delay.