case_images: PMC5768528_01
case_images: (A) Ultrasonography revealed a 2.7 x 2.7 cm hetero-echogenic lobulated mass on the left breast. (B) Fusion imaging and (C) maximum intensity projection imaging of positron emission tomography revealed an ill-defined ovalshaped mass with intense fluorodeoxyglucose uptake in the left breast.
case_images: kjim-2015-089f1.jpg
case_images: PMC5768528_01_kjim-2015-089f1.jpg
case_images: f1-kjim-2015-089
case_images: Ultrasonography revealed a 2.74 x 2.69 x 2.49 cm lobulated hetero-echogenic mass in the left breast (Fig. 1A), and positron emission tomography demonstrated a strong fluorodeoxyglucose uptake (Fig. 1B and 1C).
case_images: Histologic examination of the breast. Diffuse infiltration of primitive cells into the breast parenchyma and adjacent soft tissue was noted between arrows (A: H&E, x40; B: H&E, x200).
case_images: kjim-2015-089f2.jpg
case_images: PMC5768528_01_kjim-2015-089f2.jpg
case_images: f2-kjim-2015-089
case_images: Gun biopsy was performed, and an infiltration of primitive cells with focal terminal deoxynucleotidyl transferase-negative and CD34-positive cells was observed on histological examination, suggesting EMR of ALL (Fig. 2).
case_images: Important clinical events after allogeneic hematopoietic stem cell transplantation were depicted according to time course. Complete chimerism were maintained until day 509 (broken arrow).
case_images: kjim-2015-089f3.jpg
case_images: PMC5768528_01_kjim-2015-089f3.jpg
case_images: f3-kjim-2015-089
case_images: The patient died on day 562 (Fig. 3).
case_images: PMC5768528_02