Steimle R, Schraub S, Jacquet G, Pageaut G, Godard J, Rozenbaum A, Hakkar L
Service de Neurochirurgie, C.H.U. Jean Minjoz, Besançon.
Neurochirurgie. 1987;33(5):371-7.
The authors report four recent cases, of primary cerebral Lymphoma discovered since the use of the C.T. scan. Even though rare, the incidence of this tumor seems to be in slowly increase. The lesions on the C.T. scan are too variables and the surgical biopsy is necessary for the diagnosis. The primary cerebral Lymphoma should be considered more and more like the others Lymphomas. For this reason, they have started the treatment after surgical biopsy, with chemotherapy followed by radiotherapy associated with corticotherapy. The two last patients, are still alive with a follow up of 36 months for one of them. The prognosis seems to us, better as much as the diagnosis and the treatment was started early.
作者报告了4例自使用CT扫描以来发现的原发性脑淋巴瘤近期病例。尽管这种肿瘤很罕见,但其发病率似乎在缓慢上升。CT扫描上的病变变化多样,手术活检对诊断很有必要。原发性脑淋巴瘤应越来越多地被视为与其他淋巴瘤一样。因此,他们在手术活检后开始治疗,先进行化疗,然后进行放疗并联合皮质激素疗法。最后两名患者仍然存活,其中一名患者的随访时间为36个月。在我们看来,诊断和治疗开始得越早,预后似乎越好。