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- Title
Multiple primary diffuse large B-cell lymphoma masquerading as meningioma.
- Authors
Kumarasamy, Sivaraman; Garg, Kanwaljeet; Verma, Satish Kumar; Sharma, M. C.; Garg, Ajay; Chandra, Poodipedi Sarat; Kale, Shashank Sharad
- Abstract
Background: Primary non-Hodgkin's lymphoma with multiple extra- and intra-calvarial extensions without systemic spread in an immunocompetent patient is extremely rare. They masquerade commonly as meningioma and can present as mass lesions with raised intracranial pressure. Case Description: We report one such case of primary diffuse large B-cell lymphoma (DLBCL) in a young female involving the scalp, dural involvement in the right frontal region, left parietal, and posterior fossa and mimicking both clinically and radiologically as meningioma. She was managed surgically. Histological examination showed features suggestive of DLBCL (germinal center type). She was planned for adjuvant therapy. However, at 2 months following surgery, she succumbed due to systemic involvement of the disease. Conclusion: DLBCL is seen rarely in neurosurgical practice. They can present as tumors with adjacent extra- and intra-cranial masses. They pose a diagnostic challenge as it can be easily confused with meningioma. Tumor resection is performed to confirm diagnosis and in patients who present with raised intracranial pressure. Chemotherapy is the preferred treatment, and adjuvant therapy should be started early.
- Subjects
NON-Hodgkin's lymphoma; INTRACRANIAL pressure; GERMINAL centers; TUMOR surgery; MENINGIOMA
- Publication
Surgical Neurology International, 2024, Vol 15, p1
- ISSN
2229-5097
- Publication type
Case Study
- DOI
10.25259/SNI_360_2024