Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report

Anak Agung Ayu Pramaswari; Anak Agung Ayu Putri Laksmidewi; I Made Oka Adnyana; I Putu Eka Widyadharma

doi:10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

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Case Report

Online Publishing Date:
27 / 06 / 2020

Int J Med Rev Case Rep. 2020; 4(11): 90-94

doi: 10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report

Anak Agung Ayu Pramaswari, Anak Agung Ayu Putri Laksmidewi, I Made Oka Adnyana, I Putu Eka Widyadharma.

Abstract
Primary central nervous system lymphoma (PCNSL) is characterized as an extra-nodal non-Hodgkin lymphoma, which is a rare type of brain tumor. PCNSL often happens in an immunocompromised patient and rarely showed in an immunocompetent patient. This is a case of a 63-year-old man with a supratentorial tumor who first suspected as high-grade astrocytoma and underwent resection for his tumor, and the result showed PCNSL with diffuse large B Cell in histopathology. The patient was then admitted to neurology department for general weakness and mass in his forehead. CT scan and MRI brain examinations revealed a relapsed tumor in his left fronto-temporo-parietal lobe that was surrounded by edema and was enhancing after intravenous contrast administration. Histological and immunochemistry analysis of the resected specimen showed primary diffuse large B-cell lymphoma with CD20 positive. Radiation therapy was applied to the patient without chemotherapy, and at his last follow-up (after fifth radiation), the clinical appearance of the patient is better. The role of radiation probably should be reconsidered for PCNSL tumors.

Key words: Diffuse large B-cell Lymphoma, Immunocompetent, Primary Central Nervous System Lymphoma (PCNSL), Radiotherapy

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How to Cite this Article

Pubmed Style

Pramaswari AAA, Laksmidewi AAAP, Adnyana IMO, Widyadharma IPE. Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report. Int J Med Rev Case Rep. 2020; 4(11): 90-94. doi:10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

Web Style

Pramaswari AAA, Laksmidewi AAAP, Adnyana IMO, Widyadharma IPE. Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report. https://www.mdpub.net/?mno=90925 [Access: April 04, 2024]. doi:10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

AMA (American Medical Association) Style

Pramaswari AAA, Laksmidewi AAAP, Adnyana IMO, Widyadharma IPE. Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report. Int J Med Rev Case Rep. 2020; 4(11): 90-94. doi:10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

Vancouver/ICMJE Style

Pramaswari AAA, Laksmidewi AAAP, Adnyana IMO, Widyadharma IPE. Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report. Int J Med Rev Case Rep. (2020), [cited April 04, 2024]; 4(11): 90-94. doi:10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

Harvard Style

Pramaswari, A. A. A., Laksmidewi, . A. A. A. P., Adnyana, . I. M. O. & Widyadharma, . I. P. E. (2020) Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report. Int J Med Rev Case Rep, 4 (11), 90-94. doi:10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

Turabian Style

Pramaswari, Anak Agung Ayu, Anak Agung Ayu Putri Laksmidewi, I Made Oka Adnyana, and I Putu Eka Widyadharma. 2020. Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report. International Journal of Medical Reviews and Case Reports, 4 (11), 90-94. doi:10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

Chicago Style

Pramaswari, Anak Agung Ayu, Anak Agung Ayu Putri Laksmidewi, I Made Oka Adnyana, and I Putu Eka Widyadharma. "Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report." International Journal of Medical Reviews and Case Reports 4 (2020), 90-94. doi:10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

MLA (The Modern Language Association) Style

Pramaswari, Anak Agung Ayu, Anak Agung Ayu Putri Laksmidewi, I Made Oka Adnyana, and I Putu Eka Widyadharma. "Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report." International Journal of Medical Reviews and Case Reports 4.11 (2020), 90-94. Print. doi:10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

APA (American Psychological Association) Style

Pramaswari, A. A. A., Laksmidewi, . A. A. A. P., Adnyana, . I. M. O. & Widyadharma, . I. P. E. (2020) Primary Central Nervous System Lymphoma (PCNSL) Type Diffuse Large B Cell in Immunocompetent Patient: A Case Report. International Journal of Medical Reviews and Case Reports, 4 (11), 90-94. doi:10.5455/IJMRCR.Primary-Central-Nervous-System-Lymphoma

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