Primary plasmablastic lymphoma of the central nervous system in an immunocompetent man: A case report and review of literature

Plasmablastic lymphoma (PBL) is an aggressive non-Hodgkin lymphoma classically occurring in individuals infected with human immunodeficiency virus (HIV). It has a predilection for the oral cavity and jaw. However, recent case reports have shown this variety of lymphoma in the stomach, lung, nasal ca...

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Main Authors: Rama Kumari Badyal, Rakesh Kumar Vasishta, Nandita Kakkar, Devi Prasad Patra, Pravin Salunke, Amey Savardekar
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2014-09-01
Series:Indian Journal of Neurosurgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.146839
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author Rama Kumari Badyal
Rakesh Kumar Vasishta
Nandita Kakkar
Devi Prasad Patra
Pravin Salunke
Amey Savardekar
author_facet Rama Kumari Badyal
Rakesh Kumar Vasishta
Nandita Kakkar
Devi Prasad Patra
Pravin Salunke
Amey Savardekar
author_sort Rama Kumari Badyal
collection DOAJ
description Plasmablastic lymphoma (PBL) is an aggressive non-Hodgkin lymphoma classically occurring in individuals infected with human immunodeficiency virus (HIV). It has a predilection for the oral cavity and jaw. However, recent case reports have shown this variety of lymphoma in the stomach, lung, nasal cavity, cervical lymph nodes and jejunum in HIV-negative individuals. In this manuscript we report a case of primary PBL of brain in an HIV-negative heterosexual man, who presented with multiple episodes of seizures and hemiparesis. It proved a diagnostic challenge as initial stereotactic brain biopsy showed only few necrotic fragments and possibility of glioblastoma multiforme was rendered. Later patient underwent craniotomy and subsequent histopathology combined with immunohistochemistry led us in making a correct diagnosis of extramedullary PBL. Extensive systemic work up failed to reveal any disease outside the central nervous system. Only single case of primary PBL of brain in HIV-negative individual has been reported until date. To the best of our knowledge, this is the second report to suggest such an association.
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series Indian Journal of Neurosurgery
spelling doaj-art-1ce0d3c87bd14e40a2e8d7b36e56d1492025-08-20T02:01:16ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672014-09-01030317818010.4103/2277-9167.146839Primary plasmablastic lymphoma of the central nervous system in an immunocompetent man: A case report and review of literatureRama Kumari BadyalRakesh Kumar VasishtaNandita KakkarDevi Prasad Patra0Pravin Salunke1Amey Savardekar2Neurosurgery, Postgraduate Institute of Medical Education and ResearchNeurosurgery, Postgraduate Institute of Medical Education and ResearchNeurosurgery, Postgraduate Institute of Medical Education and ResearchPlasmablastic lymphoma (PBL) is an aggressive non-Hodgkin lymphoma classically occurring in individuals infected with human immunodeficiency virus (HIV). It has a predilection for the oral cavity and jaw. However, recent case reports have shown this variety of lymphoma in the stomach, lung, nasal cavity, cervical lymph nodes and jejunum in HIV-negative individuals. In this manuscript we report a case of primary PBL of brain in an HIV-negative heterosexual man, who presented with multiple episodes of seizures and hemiparesis. It proved a diagnostic challenge as initial stereotactic brain biopsy showed only few necrotic fragments and possibility of glioblastoma multiforme was rendered. Later patient underwent craniotomy and subsequent histopathology combined with immunohistochemistry led us in making a correct diagnosis of extramedullary PBL. Extensive systemic work up failed to reveal any disease outside the central nervous system. Only single case of primary PBL of brain in HIV-negative individual has been reported until date. To the best of our knowledge, this is the second report to suggest such an association.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.146839central nervous systemhuman immunodeficiency virus-negativeplasmablatic lymphomaprimary
spellingShingle Rama Kumari Badyal
Rakesh Kumar Vasishta
Nandita Kakkar
Devi Prasad Patra
Pravin Salunke
Amey Savardekar
Primary plasmablastic lymphoma of the central nervous system in an immunocompetent man: A case report and review of literature
Indian Journal of Neurosurgery
central nervous system
human immunodeficiency virus-negative
plasmablatic lymphoma
primary
title Primary plasmablastic lymphoma of the central nervous system in an immunocompetent man: A case report and review of literature
title_full Primary plasmablastic lymphoma of the central nervous system in an immunocompetent man: A case report and review of literature
title_fullStr Primary plasmablastic lymphoma of the central nervous system in an immunocompetent man: A case report and review of literature
title_full_unstemmed Primary plasmablastic lymphoma of the central nervous system in an immunocompetent man: A case report and review of literature
title_short Primary plasmablastic lymphoma of the central nervous system in an immunocompetent man: A case report and review of literature
title_sort primary plasmablastic lymphoma of the central nervous system in an immunocompetent man a case report and review of literature
topic central nervous system
human immunodeficiency virus-negative
plasmablatic lymphoma
primary
url http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.146839
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