Document Detail


Intravascular large B-cell lymphoma of central nervous system - a report of two cases and literature review.
MedLine Citation:
PMID:  20569674     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intravascular large B-cell lymphoma (IVL) is a rare form of diffuse large B cell lymphoma (DBCL) frequently presenting with skin and/or central nervous system (CNS) involvement. IVL involves CNS in 75 - 85% of patients and neurological symptoms include sensory and motor deficits or neuropathies, meningoradiculitis, paresthesia, hypostenia, aphasia, dysarthria, hemiparesis, seizures, transient visual loss, vertigo and impaired cognitive function. Neuroimaging discloses CNS involvement only in half of patients with neurological symptoms because there are no pathognomonic neuroradiological findings for IVL; ischemic foci are the most common presentation pattern and therefore vasculitis is the most common differential diagnosis. According to all mentioned data, diagnosis of CNS IVL requires a histopathological confirmation. Brain biopsy is absolutely indicated in patients with progressive neurological deterioration with unclear abnormalities in cerebral MR imaging. A general policy is that patients with IVL should be considered to have disseminated disease and should be treated with systemic chemotherapy. In younger patients with unfavorable features the high-dose chemotherapy with autologous stem cell transplantation should be used. Nevertheless, the course of IVL is rapidly progressive and ultimately fatal.
Authors:
B Mihaljevic; N Sternic; M Skender Gazibara; A Sretenovic; D Antic; T Terzic; V Kostic
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical neuropathology     Volume:  29     ISSN:  0722-5091     ISO Abbreviation:  Clin. Neuropathol.     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-06-23     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8214420     Medline TA:  Clin Neuropathol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  233-8     Citation Subset:  IM    
Affiliation:
Institute of Hematology, Clinical Center of Serbia, Belgrade, Serbia.
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MeSH Terms
Descriptor/Qualifier:
Brain Neoplasms / pathology*,  radiography,  therapy
Female
Humans
Lymphoma, Large B-Cell, Diffuse / pathology*,  radiography,  therapy
Middle Aged

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