Pohl P, Oberhuber G, Dietze O, Vogl G, Pallua A K, Plangger C A, Huber H
Department of Neurology, University of Innsbruck, Austria.
Clin Neurol Neurosurg. 1989;91(3):247-50. doi: 10.1016/0303-8467(89)90119-4.
A case of a primary non-Hodgkin's lymphoma of the CNS is reported in which a complete and stable disappearance of an enhancing mass lesion on the CT scan after treatment with dexamethasone was followed by the occurrence of a high-grade malignant lymphoma in the opposite hemisphere 18 months later. The long-lasting and stable remission suggests a direct oncolytic effect of corticosteroids on lymphoma cells. Furthermore, this case illustrates the usefulness of repeated CT examinations in patients with CNS lymphoma and steroid treatment.
报告了一例中枢神经系统原发性非霍奇金淋巴瘤病例，该病例在用地塞米松治疗后，CT扫描上强化肿块病变完全且稳定消失，18个月后在对侧半球出现了高级别恶性淋巴瘤。长期持续的稳定缓解提示皮质类固醇对淋巴瘤细胞有直接溶瘤作用。此外，该病例说明了重复CT检查在中枢神经系统淋巴瘤患者和类固醇治疗中的有用性。
