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[Choroid plexus involvement in malignant lymphoma. Case report].

K Fukui1, K Okamura, M Watanabe

  • 1Department of Neurosurgery, Toyohashi Municipal Hospital, Aichi.

Neurologia Medico-Chirurgica
|January 1, 1990
PubMed
Summary

Malignant lymphoma rarely affects the choroid plexus, presenting as mass lesions. This case highlights diffuse large B-cell lymphoma infiltrating the choroid plexus, leading to systemic disease and patient expiration.

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Area of Science:

  • Neurology
  • Oncology
  • Pathology

Background:

  • Malignant lymphoma involvement of the choroid plexus is an uncommon presentation.
  • Non-Hodgkin's lymphoma, particularly diffuse large B-cell type, can manifest with central nervous system lesions.

Observation:

  • A 53-year-old female presented with neurological symptoms including headache, diplopia, and gait disturbance, alongside swollen lymph nodes.
  • Imaging revealed enhanced masses in the lateral and fourth ventricles, confirmed as diffuse large B-cell type non-Hodgkin's lymphoma via biopsy.
  • Surgical exploration identified a vascular tumor at the choroid plexus, infiltrating adjacent brain tissue, subependymal, perivascular spaces, and Virchow-Robin spaces.

Findings:

  • Pathological examination confirmed diffuse large B-cell lymphoma infiltrating the choroid plexus and adjacent brain structures.

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  • The tumor was highly vascular and located at the choroid plexus of the right lateral ventricle.
  • Lymphoma cells extensively infiltrated the subependymal and perivascular spaces of the choroid plexus and surrounding brain tissue.
  • Implications:

    • This case highlights the importance of considering lymphoma in the differential diagnosis of intraventricular masses, even in early systemic stages.
    • Aggressive treatment including surgery, whole brain irradiation, and chemotherapy may not prevent systemic progression and mortality in advanced cases.
    • Further research into the mechanisms of choroid plexus infiltration by lymphoma is warranted.