Primary intracerebral lymphoma: Case report

Yıl 2012, , 409 - 411, 01.09.2012

Olcay Eser Önder Şahin Serhat Korkmaz Gazi Mehmet Boyacı

https://doi.org/10.5799/ahinjs.01.2012.03.0190

Öz

We describe a case of primary central nervous lymphoma (PCNSL) that may be confused with magnetic resonance imaging (MRI) findings of high grade glioma. Primary central nervous lymphoma is a rare tumour and it account for 0.3-3% of intracranial tumours. A 61 year\'s old woman was admitted to our clinic with a severe headache, vomiting, left hemiparesia and transient loss of consciousness. Primary central nervous lymphoma may show various biological and radiological characteristics. We herein emphasized being confused with MRI findings of PCNSL and high grade glioma.

Anahtar Kelimeler

Primary central nervous lymphoma, high grade glioma, B-cell, diagnosis

Primer intraserebral lenfoma: Olgu sunumu

Öz

Burada magnetic rezonans görüntüleme (MRG) bulguları ile yüksek dereceli glioma ile karışabilecek olan bir primer merkezi sinir sistemi lenfoması (PMSL) sunuyoruz. Primer merkezi sinir sistemi lenfoması nadir bir tümördür ve intracranial tümörlerin % 0.3-3\'ünü oluşturur. Altmış bir yaşında kadın hasta kliniğimize ciddi baş ağrısı, kusma, sol hemiparezi ve geçici bilinç kaybı ile getirildi. Primer merkezi sinir sistemi lenfoması çeşitli biyolojik ve radyolojik özellikler gösterebilir. Burada PMSL\'nin MRG bulgularının yüksek dereceli glioma ile karışmasını vurguladık.

Anahtar Kelimeler

Primer merkezi sinir sistemi lenfoması, yüksek dereceli glioma, B-hücre, tanı

Kaynakça

• Dubuisson A, Kaschten B, Lénelle J. Primary cen- tral nervous system lymphoma: Report of 32 cases and review of the literature. Clin Neurol Neurosurg 2004;107(1):55-63.
• Günaydin A, Er U, Acuduman A, Sabuncuoğlu H. Di- agnostic and surgical pitfalls of an unusual primary central nervous system lymphoma. Turk Neurosurg 2007;17(2):129-33.
• Bessell EM, Hoang-Xuan K, Ferreri AJ. Primary cen- tral nervous system lymphoma biological aspects and controversies in management. Eur J Cancer 2007;43(7):1141-52.
• Roser F, Saini M, Meliss R. Apoptosis, vascularity, and proliferation in primary central nervous system lym- phomas (PCNSL): a histopathological study. Surg Neurol 2004;62(5):393-9
• Bellinzona M, Roser F, Ostertag H. Surgical removal of primary central nervous system lymphomas (PCNSL) presenting as space occupying lesions: a series of 33 cases. Eur J Surg Oncol 2005;31(1):100-5.
• Masuoka J, Sakata S, Maeda K. Adjacent epidermoid cyst and primary central nervous system lymphoma: case report. Surg Neurol 2008;69(5):530-3
• Ng S, Butzkueven H, Kalnins R. Prolonged interval be- tween sentinel pseudotumoral demyelination and de- velopment of primary CNS lymphoma. J Clin Neurosci 2007;14(11):1126-9
• Eichler AF, Batchelor TT. Primary Central Nervous Sys- tem Lymphoma: Presentation, Diagnosis, and Stag- ing. Neurosurg Focus. 2006:15;21(5):E15.
• Hunt MA, Jahnke K, Murillo TP. Distinguishing primary central nervous system lymphoma from other central nervous system diseases: a neurosurgical perspec- tive on diagnostic dilemmas and approaches. Neuro- surg Focus 2006:15;21(5):E3.
• Hochberg NFH, Baehring JM, Hochberg EP. Primary CNS lymphoma. Neurosurg Focus 2006:21(5):543-4.
• Commins DL. Pathology of primary central nervous sys- tem lymphoma. Neurosurg Focus 2006:15;21(5):E2.
• Elder JB, Chen TC. Surgical interventions for primary central nervous system lymphoma. Neurosurg Focus 2006:15;21(5):E13.