Pineal lymphoma

Case contributed by Assoc Prof Frank Gaillard

Presentation

Increasing headaches.

Patient Data

Age: 20 years
Gender: Male

MRI brain

MRI

Extensive leptomeningeal enhancement is noted. The pineal gland is bulky and enhances too vividly. 

A lumbar puncture was performed. 

Cytology

MICROSCOPIC DESCRIPTION:

Smears contain numerous large abnormal cells, showing cleaved nuclear and irregular nuclear contours, with scattered small lymphocytes consistent with recurrent large cell lymphoma. DCBCL CNS.

Case Discussion

This patient had systemic large cell lymphoma, and now developed a CNS relapse. 

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