[Primary T-cell type lymphoma of the central nervous system: a case report]

A case of T cell type primary lymphoma of the CNS is reported. A 50-year-old man was admitted because of speech and memory disturbance and dyscalculia. He had suffered from uveitis of both eyes two years before admission. Neurological examination revealed motor aphasia, finger agnosia, dyscalculia and memory disturbance. CT scan showed a mass lesion which was enhanced irregularly by the contrast medium in the left temporoparietal region. CAG confirmed the presence of a left temporoparietal avascular mass. Total removal of the tumor was performed through the left temporoparietal craniotomy. Histopathological diagnosis of the tumor was malignant lymphoma (diffuse, large cell type). Immunological study with tumor cells in the cerebrospinal fluid revealed that the tumor was T cell type malignant lymphoma. After postoperative whole CNS irradiation and intrathecal methotrexate injection, his preoperative symptoms disappeared. No evidence of the tumor recurrence is seen under CT scan one year and two months after the tumor resection. Relationship between the cell type of the tumor and CT findings is discussed.