A Case of Central Nervous System Lymphoma Manifesting as Multiple Patchy White Matter Lesions with a Past History of Tonsil Lymphoma

SUSUMU KOBAYASHI; KEITA SAKURAI; MOTOKI TANIKAWA; YUSUKE NISHIKAWA; NORIYUKI MATSUKAWA; KENJI OKITA; YUKIO FUJIYOSHI; YUTA SHIBAMOTO

doi:10.2739/kurumemedj.59.33

Case Report

A Case of Central Nervous System Lymphoma Manifesting as Multiple Patchy White Matter Lesions with a Past History of Tonsil Lymphoma

SUSUMU KOBAYASHI, KEITA SAKURAI, MOTOKI TANIKAWA, YUSUKE NISHIKAWA, NORIYUKI MATSUKAWA, KENJI OKITA, YUKIO FUJIYOSHI, YUTA SHIBAMOTO

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Keywords: diffuse large-cell lymphoma, central nervous systems

JOURNAL FREE ACCESS

2012 Volume 59 Issue 1.2 Pages 33-38

DOI https://doi.org/10.2739/kurumemedj.59.33

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Abstract

Lymphoma of the central nervous system (CNS) parenchyma is known to present as a well-demarcated mass with strong and homogenous gadolinium enhancement in the periventricular and⁄or superficial region. We report a case of central nervous system lymphoma (CNSL) manifesting as multiple white matter lesions with non-tumorous patchy or ring-like enhancement and partial spontaneous resolution on magnetic resonance imaging (MRI). Such findings are unusual and could lead to misdiagnosis without pathological evaluation.

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