Primary CNS lymphoma

Case contributed by Dr Yan-Lin Li

Presentation

Previously healthy. Presents with progressive headache and binocular visual blurring for three months. HIV negative.

Patient Data

Age: 58 years
Gender: Female
Modality: CT
  • Heterogenous hyperdense mass centred at the left caudate and lentiform nuclei. Medial extension to septum pellucidum. Posterior extension to left thalamus, prepontine and left ambient cisterns. Inferior part of the tumour compresses the optic chiasm.
  • Extensive perifocal oedema over both cerebral hemispheres and through the left cerebral peduncle to the midbrain. 
  • Left frontal burr hole from brain biopsy. 

Case Discussion

  • PET/CT: no other hypermetabolic masses evident
  • Histology: diffuse large B-cell lymphoma
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Case Information

rID: 52515
Case created: 11th Apr 2017
Last edited: 14th Apr 2017
System: Breast
Inclusion in quiz mode: Included

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