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[Follicular dural lymphoma. Case report].
J Peltier1, A Fichten, M Lefranc
1Service de neurochirurgie, centre hospitalier universitaire d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France. peltier.johan@chu-amiens.fr
Neuro-Chirurgie
|May 12, 2009
Summary
This case study describes a rare meningeal B-cell lymphoma initially misdiagnosed as a meningioma. Prompt chemotherapy and radiotherapy led to a favorable outcome, with the patient remaining symptom-free.
Area of Science:
- Neurology
- Oncology
- Pathology
Background:
- Meningeal B-cell lymphoma is a rare condition.
- Accurate diagnosis can be challenging due to overlapping imaging features with meningiomas.
Observation:
- A 48-year-old male presented with seizures after head trauma.
- Initial imaging suggested extradural hematoma, followed by suspicion of meningioma based on MRI findings.
- Histological and electron microscopy analysis confirmed grade IV follicular B-cell lymphoma.
Findings:
- The patient had external iliac adenopathy and osseous metastases.
- Subtotal tumor resection (Simpson 2) was performed.
- The patient responded well to chemotherapy and radiotherapy.
Implications:
- This case highlights the importance of histological confirmation in diagnosing dural masses.
- Multimodal treatment including chemotherapy and radiotherapy can be effective for meningeal lymphoma.
- Early diagnosis and treatment are crucial for favorable prognosis in rare dural malignancies.
