Abstract
Primary presentation of an intradural Non-Hodgkin's lymphoma is rare. Recently these B cell lymphomas of mucosa associated lymphoid tissue (MALT) have gained acceptance as an important pathological subtype and are distinguishable from other primary CNS lymphomas that exhibit aggressive behaviour. Over the past decade a number of these lesions have been reported to resemble a meningioma both intra-operatively and radiologically. The authors outline such a case of marginal zone B cell lymphoma that clinically and radiologically resembled a meningioma. This case illustrates the rare occurrence of low grade dural B cell lymphoma and the need to consider this entity in the differential diagnosis of CNS lesions, if appropriate targeted therapy is to be administered.
MeSH terms
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Aged
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Biomarkers, Tumor / analysis
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Biomarkers, Tumor / metabolism
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Diagnosis, Differential
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Dura Mater / pathology*
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Dura Mater / physiopathology
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Dura Mater / surgery
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Female
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Humans
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Lymphoma, B-Cell, Marginal Zone / diagnostic imaging*
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Lymphoma, B-Cell, Marginal Zone / physiopathology
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Lymphoma, B-Cell, Marginal Zone / surgery
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Meningeal Neoplasms / diagnostic imaging*
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Meningeal Neoplasms / physiopathology
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Meningeal Neoplasms / surgery
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Meningioma / diagnosis
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Neurosurgical Procedures
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Pelvic Neoplasms / diagnosis
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Pelvic Neoplasms / drug therapy
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Pelvic Neoplasms / physiopathology
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Postoperative Hemorrhage / etiology
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Postoperative Hemorrhage / physiopathology
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Postoperative Hemorrhage / therapy
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Tomography, X-Ray Computed
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Treatment Outcome