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Weekly Case

종결 Case No. 488 2018-08-01~2018-08-31
출제자 : 강경미 Hit : 259
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Period 2018-08-01~2018-08-31
Diagnosis Primary central nervous system lymphoma
Clinical information F/75
Weakness (2 months ago) --> Paraplegia
진단은?
Discussion
Epidemiology
• Primary central nervous system lymphoma (PCNSL)
– 1% of all lymphoma
– 0.8-6.6% of all central nervous system (CNS) tumors.
• CNS lymphoma > 85% NHL (B cell>>> T cell)
MR findings
• T1WI
– Mass isointense to spinal cord
• T2WI
– Hyperintense + surrounding edema
• DWI
– ADC measurements inversely correlate with histopathologic assessment of tumor cellular density
• T1WI C+
– Variable; patchy/confluent, infiltrating/discrete
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