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Primary central nervous system involvement of the so called ‘peripheral T-cell lymphoma’. Report of a case and review of the literature

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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.

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References

  1. Weis JW, Winter MW, Phyliky RL, Banks PM: Peripheral T-cell lymphomas. Histologic, immunohistologic, and clinical characterization. Mayo Clin Proc 61: 411–426, 1986

    PubMed  Google Scholar 

  2. 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

    PubMed  Google Scholar 

  3. 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

    Google Scholar 

  4. 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

    Google Scholar 

  5. 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

    PubMed  Google Scholar 

  6. Hochberg FH, Miller DC: Primary central nervous system lymphoma. J Neurosurg 68: 835–853, 1988

    PubMed  Google Scholar 

  7. 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

    PubMed  Google Scholar 

  8. 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

    Google Scholar 

  9. 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

    PubMed  Google Scholar 

  10. Kawakami Y, Tabuchi K, Ohnishi R, Asari S, Nishimoto A: Primary central nervous sytem lymphoma. J Neurosurg 62: 522–527, 1985

    PubMed  Google Scholar 

  11. 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

    PubMed  Google Scholar 

  12. 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

    Google Scholar 

  13. 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

    PubMed  Google Scholar 

  14. 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

    PubMed  Google Scholar 

  15. Shibata S: Sites of origin of primary intracerebral malignant lymphoma. Neurosurgery 25: 14–19, 1989

    PubMed  Google Scholar 

  16. Murphy JK, O'Brien CJ, Ironside JW: Morphologic and immunophenotypic characterization of primary brain lymphomas using paraffin-embedded tissue. Histopathology 15: 449–460, 1989

    PubMed  Google Scholar 

  17. Sakai M, Hashizume Y, Yamamoto H, Kawakami A: An autopsy case of primary malignant lymphoma initiated with choreoathetosis. Clin Neurol 30: 849–854, 1990

    Google Scholar 

  18. 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

    PubMed  Google Scholar 

  19. 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

    PubMed  Google Scholar 

  20. 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

    Google Scholar 

  21. 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

    PubMed  Google Scholar 

  22. 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

    PubMed  Google Scholar 

  23. 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

    Google Scholar 

  24. Keung H, Lo ST, Poon CY, Poon WS: Primary cerebral T-cell lymphoma. A case report. Br J Neurosurg 2: 523–528, 1988

    PubMed  Google Scholar 

  25. 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

    Google Scholar 

  26. 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

    Google Scholar 

  27. 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

    Google Scholar 

  28. Morgello S, Maiese K, Petito CK: T-cell lymphoma in the CNS. Neurology 39: 1190–1196, 1989

    PubMed  Google Scholar 

  29. Grant JW, Deimling A: Primary T-cell lymphoma of the central nervous system. Arch Pathol Lab Med 114: 24–27, 1990

    PubMed  Google Scholar 

  30. Inoue M, Kawaguchi T, Yokoyama H, Shimada M: Primary T-cell lymphoma with myelopathy associated with HTLV-1. Neurosurgery 27: 148–151, 1990

    PubMed  Google Scholar 

  31. 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

    PubMed  Google Scholar 

  32. Gerard-Marchant R, Hamlin I, Lennert K, Rilke F, Stansfeld AG, Unnik JAM: Classification of non-Hodgkin's lymphomas. Lancet 2: 406–408, 1974

    Google Scholar 

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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

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