Lamaida E, Caputi F, Rapanà A, Bracale C, Graziussi G
Neurosurgical Department, Ospedale S. Luca, Vallo della Lucania, Italie.
Rev Neurol (Paris). 1996 Oct;152(10):637-9.
Waldenström Macroglobulinemia (WM) involves the Central Nervous System in about 10% of the affected patients, but only occasionally related clinical and histopathological changes have been considered. Most of the published papers focus on leptomeningeal lymphoplasmacytic infiltrates, even though the damage to the CNS results in a more variegated scenario. Association to a malignant neoplasm, usually of lymphoid series, is not uncommon, instead association with a glioblastoma is rare, and only 3 cases have been reported. Despite the rarity of this finding, the association Waldenström Macroglobulinemia-glioblastoma may not be coincidental. Probable etiopathological links are thereby discussed.
华氏巨球蛋白血症(WM)在约10%的受累患者中累及中枢神经系统,但仅有偶尔的相关临床和组织病理学改变被关注。大多数已发表的论文聚焦于软脑膜淋巴浆细胞浸润,尽管对中枢神经系统的损害会导致更多样化的情况。与恶性肿瘤相关,通常是淋巴系统的肿瘤,并不罕见,相反,与胶质母细胞瘤相关则很罕见,仅有3例报道。尽管这一发现罕见,但华氏巨球蛋白血症与胶质母细胞瘤的关联可能并非偶然。因此讨论了可能的病因病理联系。