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An endoscopically proven ventriculitis-type, cyst-like intraventricular primary lymphoma of the central nervous system.

Authors
Park, SW; Yoon, SH; Cho, KG
Citation
Acta neurochirurgica, 148(9):981-984, 2006
Journal Title
Acta neurochirurgica
ISSN
0001-62680942-0940
Abstract
Primary ventriculitis form of primary CNS lymphoma (PCNSL) is very rare and difficult to diagnose from radiological findings. A 55-year-woman presented with a cystic mass in the lateral ventricle without evidence of demonstrable malignant cells in the cerebrospinal fluid (CSF). The endoscopic biopsy showed a ventriculitis-like thin web on the surface of the ventricular wall around the foramen of Monro, resulting in obstruction. Pathological diagnosis was non-Hodgkin's lymphoma, B cell type. This case suggests that PCNSL should be considered as a differential diagnosis for a cystic ventricular lesion even with no malignant cells in the CSF.
MeSH terms
Antigens, CD20/analysisAntigens, CD20/metabolismAntigens, CD45/analysisAntigens, CD45/metabolismBiopsyBrain/pathology*Brain/physiopathologyBrain Neoplasms/cerebrospinal fluidBrain Neoplasms/diagnosis*Brain Neoplasms/physiopathologyCentral Nervous System Cysts/diagnosis*Cerebral Ventricle Neoplasms/cerebrospinal fluidCerebral Ventricle Neoplasms/diagnosis*Cerebral Ventricle Neoplasms/physiopathologyCerebral Ventricles/pathologyCerebral Ventricles/physiopathologyCerebrospinal Fluid/cytologyCerebrospinal Fluid ShuntsDiagnosis, DifferentialFemaleHumansHydrocephalus/etiologyHydrocephalus/physiopathologyHydrocephalus/surgeryLateral Ventricles/pathology*Lateral Ventricles/physiopathologyLymphoma, Non-Hodgkin/cerebrospinal fluidLymphoma, Non-Hodgkin/diagnosis*Lymphoma, Non-Hodgkin/physiopathologyMagnetic Resonance ImagingMiddle AgedRadiotherapy
DOI
10.1007/s00701-006-0797-2
PMID
16791437
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
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