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Primary central nervous system lymphoma

S R Khubchandani1, A R Chitale

  • 1Department of Histopathology, Jaslok Hospital And Research Centre, Bombay, India.

Indian Journal of Cancer
|December 1, 1995
PubMed
Summary
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Primary intracranial malignant lymphoma is rare, accounting for 2% of brain tumors. Most patients were older males and had aggressive, high-grade tumors with a poor prognosis, often succumbing within two years.

Area of Science:

  • Neurology
  • Oncology
  • Pathology

Background:

  • Primary intracranial malignant lymphoma (PIML) is a rare central nervous system malignancy.
  • This study analyzes PIML cases over a 15-year period.

Purpose of the Study:

  • To present a clinicopathological analysis of PIML.
  • To determine the incidence, characteristics, and outcomes of PIML.

Main Methods:

  • Retrospective analysis of 18 PIML cases (1980-1994).
  • Inclusion criteria: primary intracranial location, malignant lymphoma histology.
  • Diagnostic methods included light microscopy, ultrastructural examination, and immunohistochemistry.

Main Results:

  • PIML incidence was 2% of all space-occupying lesions (SOLs).

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  • Peak incidence in the sixth and seventh decades (male:female ratio 2:1).
  • 13/18 tumors were high-grade large cell lymphomas; 15/18 patients died within two years.

    • Conclusions:

    • PIML is a rare, aggressive malignancy with a poor prognosis.
    • High-grade lymphomas are predominant.
    • Further research into treatment strategies is warranted.