Abstract
Primary central nervous system (CNS) involvement of non-Hodgkin's lymphoma is uncommon and a vast majority of reported cases are of B-cell origin. We present a 52-year-old woman with primary peripheral T-cell lymphoma of the brain. Immunostaining of paraffin-embedded sections proved tumor cells to be positive for T-cell markers MT1 and UCHL1, and negative for B-cell markers MB1, and 4KB5. Radiotherapy combined with steroid therapy rendered neurologic recovery and complete tumor remission confirmed by computed tomography and magnetic resonance imaging. From a review of documented 19 cases of primary CNS T-cell lymphoma including the present case, this disease is characterized by poor prognosis among CNS lymphomas.
Similar content being viewed by others
References
Weis JW, Winter MW, Phyliky RL, Banks PM: Peripheral T-cell lymphomas. Histologic, immunohistologic, and clinical characterization. Mayo Clin Proc 61: 411–426, 1986
Suchi T, Lennert K, Tu LY, Kikuchi M, Sato E, Stansfeld AG, Feller AC: Histopathology and immunohistochemistry of peripheral T cell lymphomas. A proposal for their classification. J Clin Pathol 40: 995–1015, 1987
The T- and B-cell Malignancy Study Group: Statistical analyses of clinico-pathological virological and epidemiological data on lymphoid malignancies with special reference to adult T-cell leukemia/lymphoma. A report of the Second Nationwide Study of Japan. Jpn J Clin Oncol 15: 517–535, 1985
Ohnoshi T, Hayashi K, Ueno K, Tada A, Murashima M, Mizuta J, Tagawa S, Kimura I: Current status of chemotherapy in the treatment of malignant lymphomas. Jpn J Cancer Chemother 16: 1989–1996, 1989
Grant JW, Gallagher PJ, Jones DB: Primary cerebral lymphoma. A histologic and immunohistochemical study of six cases. Arch Pathol Lab Med 110: 897–901, 1986
Hochberg FH, Miller DC: Primary central nervous system lymphoma. J Neurosurg 68: 835–853, 1988
Pollack IF, Lunsford LD, Flichinger JC, Dameshek HL: Prognostic factors on the diagnosis and treatment of primary central nervous system lymphoma. Cancer 63: 939–947, 1989
National Cancer Institute sponsored study of classifications of non-Hodgkin's lymphoma. Summary and description of a Working Formulation for clinical usage. Cancer 49: 2112–2135, 1982
Ezrin-Waters C, Klein M, John D, Lang AE: Diagnostic importance of immunological markers in lymphoma involving the central nervous system. Ann Neurol 16: 668–672, 1984
Kawakami Y, Tabuchi K, Ohnishi R, Asari S, Nishimoto A: Primary central nervous sytem lymphoma. J Neurosurg 62: 522–527, 1985
Bogdahn U, Bogdahn S, Mertens HG, Dommasch D, Wodrz R, Wünsch PH, Kühl P, Richer E: Primary non-Hodgkin's lymphomas of the CNS. Acta Neurol Scand 73: 602–614, 1986
Kumanishi T, Washiyama K, Saito T, Nishiyama A, Abe S, Tanaka T: Primary malignant lymphoma of the brain. An immunohistochemical study of eight cases using a panel of monoclonal and heterologous anitbodies. Acta Neuropathol (Berl) 71: 190–196, 1986
O'Neill BP, Kelly PJ, Earle JD, Scheithauer B, Banks PM: Computer-assisted stereotaxic biopsy for the diagnosis of primary central nervous system lymphoma. Neurology 37: 1160–1164, 1987
Kuwabara Y, Ichiya Y, Otsuka M, Miyake Y, Gunasekera R, Hasuo K, Masuda K, Takeshita I, Fukui H: High [18F]FDG uptsake in primary cerebral lymphoma. A PET study. J Comput Assist Tomogr 12: 47–48, 1988
Shibata S: Sites of origin of primary intracerebral malignant lymphoma. Neurosurgery 25: 14–19, 1989
Murphy JK, O'Brien CJ, Ironside JW: Morphologic and immunophenotypic characterization of primary brain lymphomas using paraffin-embedded tissue. Histopathology 15: 449–460, 1989
Sakai M, Hashizume Y, Yamamoto H, Kawakami A: An autopsy case of primary malignant lymphoma initiated with choreoathetosis. Clin Neurol 30: 849–854, 1990
Ohkawa S, Yamadori A, Mori E, Tabuchi M, Yoshida T, Yoneda Y, Furumoto M: A case of primary malignant lymphoma of the brain with high uptake of123I-IMP. Neuroradiology 31: 270–272, 1989
Suchi T, Tajima K, Nanba K, Wakasa H, Mikata A, Kikuchi M, Mori S, Watanabe S, Mohri N, Shamoto M, Harigaya K, Itagaki T, Matsuda M, Kirino Y, Takagi K, Fukunaga S: Some problems on the histopathological diagnosis of non-Hodgkin's lymphoma. A new proposal of a new type. Acta Path Jap 29: 755–776, 1979
Suzuki M, Sato T, Komatsu S, Kimura N, Wada T: Malignant lymphoma of the CNS. A case report with pathological and immunological studies. No Shinkei Geka (Tokyo) 9: 1279–1284, 1981
Schmitt-Gräff A, Pfitzer P: Cytology of the cerebrospinal fluid in primary malignant lymphomas of the central nervous system. Acta Cytol 27: 267–272, 1983
Marsh WL, Stevenson DR, Long HJ: Primary leptomeningeal presentation of T-cell lymphoma. Report of a patient and review of the literature. Cancer 51: 1125–1131, 1983
Kuwata T, Funahashi K, Itakura T, Miyamoto K, Nishiguchi T, Hayashi S, Komai N: T cell type primary lymphoma of the central nervous system. A case report. No Shinkei Geka (Tokyo) 15: 657–661, 1987
Keung H, Lo ST, Poon CY, Poon WS: Primary cerebral T-cell lymphoma. A case report. Br J Neurosurg 2: 523–528, 1988
Koseto M, Tsuchida T, Fujita H, Omoto T, Shimada K, Hiramine C, Hojo K: Primary malignant T-cell lymphoma of the central nervous system. Nippon Monaikei Gakkaishi (Tokyo) 28: 285–295, 1988
Matsumoto M, Ohtsuka T, Kuroki T, Shibata I, Terao H, Kudo M: Primary intracranial malignant lymphoma. Report of nine cases. Neurol Med Chir (Tokyo) 28: 1186–1192, 1988
Yoshino K, Fujimoto S, Ito T, Mizobuchi K, Terui Y: Primary intracranial T cell type malignant lymphoma. A case report. No Shinkei Geka (Tokyo) 17: 1047–1050, 1989
Morgello S, Maiese K, Petito CK: T-cell lymphoma in the CNS. Neurology 39: 1190–1196, 1989
Grant JW, Deimling A: Primary T-cell lymphoma of the central nervous system. Arch Pathol Lab Med 114: 24–27, 1990
Inoue M, Kawaguchi T, Yokoyama H, Shimada M: Primary T-cell lymphoma with myelopathy associated with HTLV-1. Neurosurgery 27: 148–151, 1990
Su IJ, Wang CH, Cheng AL, Chen YC, Hsieh HC, Chen CJ, Tien HF, Woei-Tsay, Huang SS, Hu CY, Chen PJ, Chen JY, Hsu HC, Chuang SM, Shen MC, Kadin ME: Characterization of the spectrum of postthymic T-cell malignancies in Taiwan. A clinicopatologic study of HTLV-1-positive and HTLV-1-negative cases. Cancer 61: 2060–2070, 1988
Gerard-Marchant R, Hamlin I, Lennert K, Rilke F, Stansfeld AG, Unnik JAM: Classification of non-Hodgkin's lymphomas. Lancet 2: 406–408, 1974
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Mineura, K., Sawataishi, J., Sasajima, T. et al. Primary central nervous system involvement of the so called ‘peripheral T-cell lymphoma’. Report of a case and review of the literature. J Neuro-Oncol 16, 235–242 (1993). https://doi.org/10.1007/BF01057040
Issue Date:
DOI: https://doi.org/10.1007/BF01057040