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Updated: Aug 9, 2026

Cervical Lymph Duct-Cannulated Rat Model for Assessing Lymphatic Transport from the Head and Brain
Published on: March 10, 2026
Primary lymphoma of the nervous system
Joachim M Baehring1, Fred H Hochberg
1Department of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Guidelines for primary nervous system lymphoma (PNL) diagnosis and management are presented. Methotrexate-based chemotherapy offers prolonged survival, but better diagnostic tools are needed for early detection and relapse monitoring.
Area of Science:
- Neuro-oncology
- Hematology
- Clinical Guidelines
Background:
- Primary nervous system lymphoma (PNL) affects the brain, eyes, meninges, and nerves.
- Understanding PNL pathogenesis is crucial, despite insights from extraneural lymphoma.
- Unique organotropism of PNL remains poorly understood.
Purpose of the Study:
- Provide guidelines for PNL diagnosis, staging, and management.
- Summarize recent progress in PNL pathogenesis.
- Outline implications for diagnostic tools and therapeutics.
Main Methods:
- Literature review of PubMed database (1970-2005).
- Analysis of clinical trial results from the last decade.
- Focus on diagnostic techniques and therapeutic strategies.
Main Results:
- Modern imaging and molecular markers aid PNL diagnosis.
- Methotrexate-based chemotherapy improves progression-free survival without radiation.
- Long-term survival and potential cures are achievable with PNL treatment.
Conclusions:
- PNL management requires specialized multidisciplinary care.
- Despite advances, most patients relapse within years.
- Further research into PNL pathogenesis is needed for novel therapeutic targets and improved diagnostics.
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