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Case No. 391
2015-11-01~2015-11-30
출제자 : 유인선
Hit : 374
| Period | 2015-11-01~2015-11-30 |
|---|---|
| Diagnosis | AIDS related primary CNS lymphoma |
| Clinical information | M/52 C.C> 3년전부터 left facial palsy, 1개월전부터 headache, known AIDS patient |
| Discussion | AIDS related primary CNS lymphoma • Primary CNS lymphoma has increased to 6% among AIDS patients – Second most common cerebral mass lesion in AIDS patients • Almost always of B-cell, non-Hodgkins type • Likely related to EBV • Immunodeficient patients with PCNSL are often diagnosed with multifocal lesions • Imaging findings – Commonly irregular or peripheral, and ring-like enhancement is reported in up to 75% of cases – Tends to involve gray and white matter, is associated with leptomeningeal thickening • Basal ganglia and corpus callosum are frequently involved – Spontaneous hemorrhage and necrosis may be more frequent |
| Correct answer |
Correct Answer
Semi-Correct Answer |