Abstract

LEIVA SUERO, Lizette Elena; DEL POZO JEREZ, Haydeé; BORRAJERO MARTINEZ, Israel  and  CHONG LOPEZ, Agustín. Hemolytic anemia as an initial expression of tumor relapse of breast neoplasia. Rev cubana med [online]. 2008, vol.47, n.1, pp. 0-0. ISSN 1561-302X.

A case with diagnosis of infiltrating ducto-lobular grade II carcinoma of the right breast that was mastectomized and treated for 5 years with tamoxifen was presented. A year after suspending it, the patient began to complain of asthenia and bone pain of insidious onset. It was detected macrocytic severe anaemia that etiologically corresponded to an autoimmune haemolytic anaemia secondary to a tumoral relapse of such neoplasia. Direct and indirect Coombs tests were negative, but the eluate proved the existence of autoimmune hemolysis. The result of the bone marrow biopsy by using immunohistochemical techniques confirmed that there was a tumoral infiltration due to the breast neoploasia. Bone scintigraphy showed the existence of multiple bone metastases.

Keywords : Hemolytic autoimmune anemia; breast neoplasia.

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