Sino-nasal T-cell lymphoma invading the brain: A case study

Lesions occupying the anterior cranial fossa may arise de novo or are extensions from the sino-nasal areas with a handful of differentials in either group. The imaging findings, though to a large extent standardized are not full proof. Primary central nervous system lymphoma and sino-nasal lymphoma are uncommon variants of extranodal non-Hodgkin's lymphoma (NHL). We encountered a 35-year-old lady presenting with headache and seizures with a mass lesion involving the ethmoids with invasion into the anterior cranial fossa diagnosed as T-cell extranodal NHL. Gross total resection and reconstruction of the skull base were done. She was treated with chemotherapy and radiotherapy and is doing well at 6 months follow-up. This is the first report of a sino-nasal T-cell lymphoma invading the brain-parenchyma in an immuno-competent person. Sino-nasal primary T-cell lymphoma presenting as skull base pathology should form an essential differential diagnosis along with other routine lesions of anterior cranial fossa. Since these lesions have a good response to chemo and radiotherapy, a trans-nasal biopsy may obviate the need of a craniotomy if neurosurgeons are aware of this rare entity.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Sino-nasal T-cell lymphoma invading the brain: A case study ; volume:9 ; number:04 ; year:2014 ; pages:235-235
Asian journal of neurosurgery ; 9, Heft 04 (2014), 235-235

Contributor
Reddy, Srikanth
Kumar, Ashish
Allugolu, Rajesh
Uppin, Megha
Ramgopal, Keshav

DOI
10.4103/1793-5482.146626
URN
urn:nbn:de:101:1-2022120110501964827068
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:29 AM CEST

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Associated

  • Reddy, Srikanth
  • Kumar, Ashish
  • Allugolu, Rajesh
  • Uppin, Megha
  • Ramgopal, Keshav

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