病例报告:慢性亚皮性血瘤是继发性至初级性中枢神经系统淋巴瘤
Xinli Mu1, Zhihui Song2, Qihong Wang2
1Department of Rehabilitation Medicine, Central Hospital Affiliated to Shandong First Medical University, Jinan, China.
Frontiers in surgery
|September 29, 2025
概括
一个罕见的初级中枢神经系统淋巴瘤 (PCNSL) 病例模仿了慢性下皮质血瘤 (CSDH). 及时诊断和治疗导致病变的解决,尽管失语症持续存在.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 初级中枢神经系统淋巴瘤 (PCNSL) 是一种罕见的恶性瘤.
- 错误地诊断PCNSL为慢性下皮质血瘤 (CSDH),可能导致治疗延迟和不良结果.
- 血瘤组织和脑是未经治疗的内病变的潜在并发症.
研究的目的:
- 报告一个罕见的PCNSL病例,最初呈现为CSDH.
- 要突出诊断挑战和管理策略,为这种罕见的演示.
- 强调在非典型进展的CSDH的差异诊断中考虑PCNSL的重要性.
主要方法:
- 一个69岁的男性患有进展性神经缺陷的病例报告.
- 诊断成像包括MRI与对比.
- 内体和有组织的血瘤的手术切除.
- 组织病理学和免疫组织化学分析用于诊断.
- 用Rituximab和高剂量的甲状腺素治疗.
主要成果:
- 最初的错误诊断为CSDH,随后是症状进展.
- 核磁共振显示出血瘤组织,大脑,以及一个内质量.
- 组织病理学证实了扩散性大B细胞淋巴瘤 (DLBCL).
- 治疗导致MRI上的病变解决,持续的运动失语.
结论:
- PCNSL很少表现为CSDH,这给诊断带来了挑战.
- 早期识别和适当的治疗对于管理PCNSL至关重要.
- 这一案例强调了对异常神经病理表现进行全面评估的重要性.
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