Zhao J, Zou C, Guo Z, Cheng P, Lu W. Primary central nervous system diffuse large B-cell lymphoma in fourth ventricle: Case report and literature review.
Medicine (Baltimore) 2023;
102:e33286. [PMID:
36961159 PMCID:
PMC10036044 DOI:
10.1097/md.0000000000033286]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Accepted: 02/24/2023] [Indexed: 03/25/2023] Open
Abstract
RATIONALE
Primary central nervous system lymphoma (PCNSL) is rare, especially lymphoma arising in the fourth ventricle. Only a few cases have been reported. We report a case of fourth ventricular lymphoma and review the relevant literature. Characterizing these cases can provide a basis for optimizing the diagnosis and management of fourth ventricle lymphoma.
PATIENT CONCERNS
A 48-year-old male with blurred vision, dizziness, staggering persisting for 2 months was admitted.
DIAGNOSIS
Preoperative magnetic resonance imaging revealed a space occupying lesion of the fourth ventricle. The patient presented with symptoms of hydrocephalus before surgery, such as memory loss and slurred speech. Pathological analysis following complete resection confirmed the lesion as PCNSL.
INTERVENTION
The patient underwent a midline posterior fossa craniotomy.
OUTCOMES
The patient symptoms were relieved after surgery. Postoperative chemotherapy was administered with our regular follow-up. Follow-up 9 months after operation indicated a good prognosis.
LESSONS
According to the literature, biopsy surgery and subsequent chemotherapy are generally considered as the best treatment options for PCNSL. We believe that for the special location of the fourth ventricle, lymphomas in this site are suitable for the combination of complete resection and subsequent chemotherapy. This approach facilitates tumor resection and reduces possibility of obstructive hydrocephalus.
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