Images in clinical medicine | Volume 38, Article 117, 03 Feb 2021 | 10.11604/pamj.2021.38.117.27046

Giant primary dural lymphoma with vault involvement

Mohamed Moutaoukil, Brahim Eljebbouri

Corresponding author: Brahim Eljebbouri, Fourth Military Hospital Dakhla, Dakhla, Morocco

Received: 19 Nov 2020 - Accepted: 13 Jan 2021 - Published: 03 Feb 2021

Domain: Oncology,Neurosurgery

Keywords: Giant primary dural lymphoma, frontal headaches, computed tomography

©Mohamed Moutaoukil et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Mohamed Moutaoukil et al. Giant primary dural lymphoma with vault involvement. Pan African Medical Journal. 2021;38:117. [doi: 10.11604/pamj.2021.38.117.27046]

Available online at: https://www.panafrican-med-journal.com/content/article/38/117/full

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Images in clinical medicine

Giant primary dural lymphoma with vault involvement

Giant primary dural lymphoma with vault involvement

Mohamed Moutaoukil1, Brahim Eljebbouri1,&

 

1Fourth Military Hospital Dakhla, Dakhla, Morocco

 

 

&Corresponding author
Brahim Eljebbouri, Fourth Military Hospital Dakhla, Dakhla, Morocco

 

 

Abstract

A 52-year-old immunocompetent man presented with frontal headaches. Physical examination showed a painful frontal hump (A). Computed tomography and MRI scans revealed a giant bifrontal extra-axial tumor (B,C). He benefited from total removal of the tumor. Pathological examination of the resected mass led to the diagnosis of anaplastic large B-cell lymphoma (Cell immunopositivity for CD30 and anaplastic lymphoma kinase) (D). He was transferred to the oncology unit for chemo and radiotherapy with good clinical evolution. Primary dural lymphoma (PDL) is extremely rare, accounting 7% of all primary central nervous system lymphomas. PDL usually involves sites that are rich in meningothelial cells, and results in a localized mass or plaque-like thickening of the dura that radiologically resembles a number of other diseases, such as meningioma or subdural hematomas. Although there is as yet no optimal treatment for PDL, surgical excision followed by radiotherapy and chemotherapy are recommended.



Figure 1: A) picture of the patient with frontal hump; B) axial CT scan after injection of contrast medium showing the appearance of erosive and invasive frontal tumor; C) magnetic resonance imaging (MRI) sagittal T1-weighted images following gadolinium administration. A heterogeneously enhancing and lobulated dural mass developed within the superior sagittal sinus (SSS), and was surrounded by localized cerebral edema; D) cell immunopositivity for CD30 and anaplastic lymphoma kinase (IHC stain ×200)

 

 

 

 

Images in clinical medicine

Giant primary dural lymphoma with vault involvement

Images in clinical medicine

Giant primary dural lymphoma with vault involvement

Images in clinical medicine

Giant primary dural lymphoma with vault involvement