Rezaei-Kalantari Kiara, Samimi Kaveh, Jafari Maryam, Karimi Mohammad Ali, Ansari Keyvan, Davoodi Mohammad, Nabi-Meybodi Mahtab, Gorjian Mehrnoush
Department of Radiology, Hazrat Rasoul-e-Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Radiol. 2012 Jun;9(2):88-92. doi: 10.5812/iranjradiol.7734. Epub 2012 Jun 30.
Primary non-Hodgkin's lymphoma of the cranial vault is extremely rare. This case report presents a 42-year-old man with a painless subcutaneous scalp mass which extended intracranially associated with recent mild headache. Initial computed tomography and magnetic resonance imaging revealed two lesions emanating from the skull. Biopsy revealed a diagnosis of diffuse large B cell lymphoma (DLBCL). A thorough work-up revealed no other point of involvement. This case is concerned about considering lymphoma in the differential diagnosis of calvarial lesions with both intra- and extra cranial extensions but without obvious intervening bony destruction.
颅骨原发性非霍奇金淋巴瘤极为罕见。本病例报告介绍了一名42岁男性,其头皮下有一无痛性肿块,已向颅内扩展,并伴有近期轻度头痛。最初的计算机断层扫描和磁共振成像显示颅骨有两个病灶。活检显示诊断为弥漫性大B细胞淋巴瘤(DLBCL)。全面检查未发现其他受累部位。本病例涉及在鉴别诊断颅骨病变时考虑淋巴瘤,这些病变同时有颅内和颅外扩展,但无明显的中间骨质破坏。