Parekh H C, Sharma R R, Keogh A J, Prabhu S S
Department of Neurological Surgery, Royal Preston Hospital, England, UK.
Surg Neurol. 1993 Apr;39(4):286-9. doi: 10.1016/0090-3019(93)90007-n.
Primary cranial vault non-Hodgkin's lymphomas are rare and only four such cases are described in the literature. A 65-year-old woman presented with focal neurological deficits and a subcutaneous scalp lump. Computed tomography (CT) scan showed a left parietal cranial vault lesion with soft tissue scalp swelling and underlying intracranial extra axial mass mimicking a meningioma. Histology showed features of a typical B-cell non-Hodgkin's lymphoma, there was no systemic involvement. The characteristic CT findings of this lesion are described and relevant literature is reviewed. We are reporting this case because of its rare occurrence. A diagnosis of primary lymphoma of the skull vault should always be considered in the differential diagnosis when such a lesion is encountered.
原发性颅顶非霍奇金淋巴瘤罕见,文献中仅描述了4例此类病例。一名65岁女性出现局灶性神经功能缺损和头皮下肿块。计算机断层扫描(CT)显示左顶骨颅顶病变,伴有头皮软组织肿胀及颅内轴外肿块,类似脑膜瘤。组织学检查显示为典型B细胞非霍奇金淋巴瘤特征,无全身受累。描述了该病变的特征性CT表现并复习了相关文献。由于其罕见性,我们报告此病例。遇到此类病变时,鉴别诊断中应始终考虑颅顶原发性淋巴瘤的诊断。