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논문KCI 등재

일시적인 자연관해를 보인 원발성 중추신경계 림프종

Temporary Spontaneous Remission in Primary CNS Lymphoma

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주제분류신경과학

초록

Spontaneous remission in untreated primary central nervous system lymphoma is rare. A 66-year-old man was admitted with dizziness and gait disturbance. Initial fluid-attenuated inversion-recovery images revealed hyperintensities in the upper brainstem, left temporal lobe, and right occipital lobe. The patient’s symptoms and lesions disappeared spontaneously after 1 month. However, he was readmitted after 4 months with right hemiparesis. Magnetic resonance imaging revealed a homogenous enhanced lesion in the left basal ganglia with a vasogenic pattern. This disease warranted biopsy, which revealed large B-cell lymphoma.

Abstract

Spontaneous remission in untreated primary central nervous system lymphoma is rare. A 66-year-old man was admitted with dizziness and gait disturbance. Initial fluid-attenuated inversion-recovery images revealed hyperintensities in the upper brainstem, left temporal lobe, and right occipital lobe. The patient’s symptoms and lesions disappeared spontaneously after 1 month. However, he was readmitted after 4 months with right hemiparesis. Magnetic resonance imaging revealed a homogenous enhanced lesion in the left basal ganglia with a vasogenic pattern. This disease warranted biopsy, which revealed large B-cell lymphoma.

참고문헌 (7)

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  4. Partap S, "Spontaneously relapsing and remitting primary CNS lymphoma in an immunocompetent 45-year-old man", J Neurooncol, 80, pp.305~307 (2006)
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  6. Kaufmann Y, "Brief report: lymphoma with recurrent cycles of spontaneous remission and relapse - Possible role of apoptosis", N Eng J Med, 332, pp.507~510 (1995)
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