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Primary diffuse large B cell lymphoma of the cranial vault
Kiara Rezaei-Kalantari1, Kaveh Samimi, Maryam Jafari
1Department of Radiology, Hazrat Rasoul-e-Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Summary
Primary cranial vault lymphoma, a rare condition, can present as a scalp mass with intracranial extension. This case highlights diffuse large B cell lymphoma (DLBCL) without bone destruction, emphasizing its inclusion in differential diagnoses.
Area of Science:
- Oncology
- Neurology
- Pathology
Background:
- Primary non-Hodgkin's lymphoma (NHL) of the cranial vault is exceptionally rare.
- Calvarial lesions with intracranial and extracranial extension typically raise concerns for other pathologies.
Observation:
- A 42-year-old male presented with a painless subcutaneous scalp mass and mild headache.
- Imaging revealed two skull-based lesions with intra- and extracranial components.
- No significant bony destruction was evident between the intra- and extracranial lesions.
Findings:
- Biopsy confirmed diffuse large B cell lymphoma (DLBCL) as the diagnosis.
- Systemic staging revealed no other sites of lymphoma involvement.
- The presentation mimicked other calvarial tumors but was ultimately lymphoma.
Implications:
- This case underscores the importance of considering lymphoma in the differential diagnosis of unusual calvarial masses.
- Early recognition of primary cranial vault lymphoma is crucial for timely and appropriate treatment.
- Further research into rare presentations of lymphoma can improve diagnostic accuracy.
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