[T-cell lymphoproliferative disorder involving the central nervous system in two cases]

No Shinkei Geka. 2000 May;28(5):435-9.
[Article in Japanese]

Abstract

Lymphoproliferative disorder (LPD) sometimes occurs in immunosuppressive patients. B-cell proliferation is predominantly seen in patients with LPD and T-cell proliferation is rare. We here report two patients with T-cell LPD involving the central nervous system (CNS). A 7-year-old boy developed increased intracranial pressure and computed tomography showed a ring-enhanced mass lesion in the right frontal lobe. A 10-year-old boy developed gait disturbance and magnetic resonance imaging showed a non-enhanced lesion in the left parietal lobe. Radiological findings could not differentiate CNS-LPD from other intracranial diseases. Only histologic examination could diagnose LPD in both cases, and Epstein-Barr virus associated RNA was found in the infiltrated T-cell of the latter case. Although chemotherapy with antitumor agents was effective for remission of LPD in both cases, both patients died 3 years after their operations. As CNS-LPD shows rapid progression and frequently results in fatality, this disease requires immediate histologic diagnosis followed by extensive chemotherapy.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Central Nervous System / pathology*
  • Child
  • Chronic Disease
  • Diagnosis, Differential
  • Epstein-Barr Virus Infections*
  • Humans
  • Immunocompromised Host
  • Lymphoproliferative Disorders / diagnosis
  • Lymphoproliferative Disorders / pathology*
  • Lymphoproliferative Disorders / virology
  • Male
  • T-Lymphocytes / pathology*
  • T-Lymphocytes / virology