Primary Central Nervous System Lymphoma

BRIAN P. O'NEILL, JOSEPH J. ILLIG

Research output: Contribution to journalReview articlepeer-review

140 Scopus citations

Abstract

Primary central nervous system lymphomas constitute less than 2% of primary brain tumors. Although their cause is unknown, they are in some way related to immunosuppression. The typical patient is a middle-aged man who displays the syndrome of a subacute mass lesion. These tumors most commonly occur as a single, bulky mass in the hemispheric white matter or the deep gray matter, but multiple tumors occur in approximately a fourth of the patients. The findings on computed tomography are distinctive and nearly pathognomonic. The majority of these tumors are B-cell lymphomas with aggressive histologic changes. Surgical intervention should be reserved for tissue diagnosis because surgical removal does not seem to influence the outcome. Conventional therapy consists of whole-brain irradiation with or without chemotherapy. The prognosis for patients with such tumors is grim, the median duration of survival being less than 2 years with conventional therapy and the 5-year survival being less than 5%.

Original languageEnglish (US)
Pages (from-to)1005-1020
Number of pages16
JournalMayo Clinic proceedings
Volume64
Issue number8
DOIs
StatePublished - 1989

ASJC Scopus subject areas

  • Medicine(all)

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