Primary Malignant Lymphoma of the Cranial Vault with Extra- and Intracranial Extension.
10.14791/btrt.2013.1.1.32
- Author:
Myeong Jin KO
1
;
Sung Nam HWANG
;
Yong Sook PARK
;
Teak Kyun NAM
Author Information
1. Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea. tarheelk@hanmail.net
- Publication Type:Case Report
- Keywords:
Primary lymphoma;
Cranial vault;
Scalp mass
- MeSH:
Aged, 80 and over;
B-Lymphocytes;
Brain;
Carotid Artery, External;
Cerebral Angiography;
Diagnosis;
Diagnosis, Differential;
Drug Therapy;
Female;
Humans;
Lymphoma*;
Magnetic Resonance Imaging;
Scalp;
Superior Sagittal Sinus
- From:Brain Tumor Research and Treatment
2013;1(1):32-35
- CountryRepublic of Korea
- Language:English
-
Abstract:
Bone involvement is a common finding in many types of lymphomas, particularly in advanced stages. However, cranial vault affliction has been regarded as an exceedingly rare presentation. Here, we report the case of a patient with cranial vault lymphoma who presented with a scalp mass. An 81-year-old woman presented with a gradually growing and non-painful frontal scalp mass that she noticed one month before admission. It was a flatly elevated, round mass measuring about 6x4x4 cm. Computed tomography and magnetic resonance imaging of the brain revealed a contrast-enhancing intracranial extradural mass at the counter-location of the scalp mass. The superior sagittal sinus was involved at the tumor site. Cerebral angiography showed that the tumor feeding vessels originated from the bilateral external carotid arteries. An operation was performed and the tumors were removed together with the involved bone. The pathologic diagnosis was malignant diffuse large B-cell type lymphoma. The patient was transferred to the Hemato-Oncology department for chemotherapy. Primary lymphoma of the cranial vault with scalp mass is very rare but it should be considered in the differential diagnosis of scalp masses. Although the results of reported cases are variable, the combination of surgery, radiation, and chemotherapy appears to offer favorable outcomes.
