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原发性硬脑膜B淋巴细胞淋巴瘤:一例报告并文献复习

Primary lymphoblastic B-cell lymphoma of the cranial dura mater: a case report and review of the literature.

作者信息

Abdullah Sakher, Morgensztern Daniel, Rosado Manuel F, Lossos Izidore S

机构信息

Department of Medicine, Division of Hematology and Oncology, University of Miami/Sylvester Cancer Center, Miami, FL 331396, USA.

出版信息

Leuk Lymphoma. 2005 Nov;46(11):1651-7. doi: 10.1080/10428190500215126.

Abstract

Primary lymphomas of the cranial dura mater are rare. Mucosa-associated lymphoid tissue extranodal marginal zone lymphomas are the most common subtype of non-Hodgkin's lymphomas that present as primary cranial dura tumors. A 33 year-old male presented with a 3-month history of a growing lump in the right frontal area. Neuroimaging studies demonstrated an extra-axial, broad-based mass with a dural tail in the right frontal bone convexity. Biopsy led to the diagnosis of localized dural precursor B-cell lymphoblastic lymphoma. The patient was treated with a combination of chemotherapy and radiotherapy, achieving durable disease-free survival. This is the first report of precursor B-cell lymphoblastic lymphoma of dura mater. A review of the literature on primary lymphomas of cranial dura mater is presented. Primary lymphomas of the cranial dura mater are rare. Mucosa-associated lymphoid tissue extranodal marginal zone lymphomas are the most common subtype of non-Hodgkin's lymphomas that present as primary cranial dura tumors. A 33 year-old male presented with a 3-month history of a growing lump in the right frontal area. Neuroimaging studies demonstrated an extra-axial, broad-based mass with a dural tail in the right frontal bone convexity. Biopsy led to the diagnosis of localized dural precursor B-cell lymphoblastic lymphoma. The patient was treated with a combination of chemotherapy and radiotherapy, achieving durable disease-free survival. This is the first report of precursor B-cell lymphoblastic lymphoma of dura mater. A review of the literature on primary lymphomas of cranial dura mater is presented.

摘要

原发性硬脑膜淋巴瘤较为罕见。黏膜相关淋巴组织结外边缘区淋巴瘤是非霍奇金淋巴瘤中最常见的亚型,可表现为原发性硬脑膜肿瘤。一名33岁男性患者,有右侧额部肿物逐渐增大3个月的病史。神经影像学检查显示右侧额骨凸面有一个轴外、基底较宽且伴有硬膜尾征的肿块。活检诊断为局限性硬脑膜前体B细胞淋巴母细胞淋巴瘤。该患者接受了化疗和放疗联合治疗,实现了持久的无病生存。这是硬脑膜前体B细胞淋巴母细胞淋巴瘤的首例报告。本文还对硬脑膜原发性淋巴瘤的文献进行了综述。原发性硬脑膜淋巴瘤较为罕见。黏膜相关淋巴组织结外边缘区淋巴瘤是非霍奇金淋巴瘤中最常见的亚型,可表现为原发性硬脑膜肿瘤。一名33岁男性患者,有右侧额部肿物逐渐增大3个月的病史。神经影像学检查显示右侧额骨凸面有一个轴外、基底较宽且伴有硬膜尾征的肿块。活检诊断为局限性硬脑膜前体B细胞淋巴母细胞淋巴瘤。该患者接受了化疗和放疗联合治疗,实现了持久的无病生存。这是硬脑膜前体B细胞淋巴母细胞淋巴瘤的首例报告。本文还对硬脑膜原发性淋巴瘤的文献进行了综述。

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