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Synchronous Primary Central Nervous System and Pulmonary Lymphoma in a 7-Year-Old Female with Unspecified T-Cell Immunodeficiency
Journal article   Peer reviewed

Synchronous Primary Central Nervous System and Pulmonary Lymphoma in a 7-Year-Old Female with Unspecified T-Cell Immunodeficiency

Michael G Z Ghali, Ayman Samkari, J Steve Hou, Manjula Balasubramanian, Sherri Besmer, Matthew Keisling and Prithvi Narayan
Pediatric neurosurgery, v 53(5)
2018
PMID: 30110687

Abstract

Central Nervous System Neoplasms - diagnostic imaging Central Nervous System Neoplasms - pathology Central Nervous System Neoplasms - surgery Child Diagnosis, Differential Female Frontal Lobe Humans Lung Neoplasms - diagnostic imaging Lung Neoplasms - pathology Lung Neoplasms - surgery Lymphoma, Large B-Cell, Diffuse - diagnostic imaging Lymphoma, Large B-Cell, Diffuse - pathology Lymphoma, Large B-Cell, Diffuse - surgery Magnetic Resonance Imaging Neoplasms, Multiple Primary - diagnostic imaging Neoplasms, Multiple Primary - pathology Neoplasms, Multiple Primary - surgery Thoracic Surgery, Video-Assisted - methods
Primary central nervous system lymphoma (PCNSL) is rare in children with immunocompromise as an important risk factor. A 7-year-old girl with unspecified T-cell immunodeficiency presented with left-sided weakness and was found to have a right-sided frontal lobe mass on imaging. The mass was resected; histopathology and molecular studies evidenced diffuse large B-cell lymphoma. Prior chest imaging had revealed left upper lobe mass, and repeat chest imaging revealed multiple pulmonary nodules, initially concerning for metastasis. Video-assisted thoracoscopic surgical wedge resection of the lung mass was performed; the molecular profile was distinct from the PCNSL, suggesting synchronous de novo lymphomagenesis of brain and pulmonary primaries.

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Collaboration types
Industry collaboration
Domestic collaboration
Web of Science research areas
Clinical Neurology
Pediatrics
Surgery
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