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Case Reports
. 2011:8:50.
doi: 10.4314/pamj.v8i1.71168. Epub 2011 Apr 30.

Successful management of primary non Hodgkins lymphoma of the cranial vault

Zouhour Fadoukhair  1 , Issam Lalya, Mounia Amzerin, Basma Elkhanoussi, Yassir Sbitti, Saber Boutayeb, Hind M'rabti, Noureddine Benjaafar, Hassan Errihani
Affiliations
Case Reports

Successful management of primary non Hodgkins lymphoma of the cranial vault

Zouhour Fadoukhair et al. Pan Afr Med J. 2011.

Abstract

Primary bone lymphoma (PBL) is a relatively uncommon entity. However, involvement of the cranial vault is an unusual manifestation of aggressive non-Hodgkin's lymphoma. We report the case of a 42-year old immunocompetent woman who presented with an enlarging mass involving the right parietal bone. Magnetic resonance imaging (MRI) of the brain revealed an expansive tumor that affects the right parietal bone. Computed tomographic (CT) scans of the abdomen, chest and pelvis were negative for lymphadenopathy or organomegaly. Biopsy of the mass showed diffuse large B-cell non-Hodgkin's lymphoma confirmed by immunohistochemical study. The patient had a complete response after 4 cycles of chemotherapy followed by external beam radiotherapy. After a follow-up of more than 9 months the patient is still in good local control without distant metastasis. The aim of our work is to report a case of Primary bone lymphoma of the cranial vault with good response to treatment combining sequential chemotherapy and radiotherapy.

Keywords: B-Cell lymphoma; cranial vault; extranodal lymphoma; primary bone lymphoma.

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Figures

Figure 1:
Figure 1:. Sagittal T1 flair showing an expansive tumor that affects the right parietal bone in a 42-years old patient with primary non Hodgkin's lymphoma of the cranial vault
Figure 2:
Figure 2:. Diffuse large B cell lumphoma positive for CD20 (immunohistochemistry CD20 orginal magification ×400)
See this image and copyright information in PMC

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