Primary manifestation of Hodgkin's disease in the central nervous system

Virchows Arch. 1998 May;432(5):477-81. doi: 10.1007/s004280050195.

Abstract

A 62-year-old woman presented with loss of memory and a mild hemiparesis. Neuroradiology demonstrated a left frontoparietal tumour. Biopsy specimens of this lesion revealed intracerebral Hodgkin's lymphoma, a diagnosis supported by immunohistochemical reactions of the tumour cells for the CD30 antigen. Additional cell cycle studies revealed a high proliferative activity of the tumour cells in association with absence of apoptosis. There was no evidence that overexpression of bcl-2 or Epstein-Barr virus infection was involved in the pathogenesis of this neoplasm. Lymphomas in the lung were detected 3 months later. Following neurosurgical excision, radiotherapy, and chemotherapy, the patient had no evidence of Hodgkin's disease after 13 months of follow-up.

Publication types

  • Case Reports

MeSH terms

  • Apoptosis
  • Brain Neoplasms / diagnosis*
  • Brain Neoplasms / metabolism
  • Diagnosis, Differential
  • Female
  • Hodgkin Disease / diagnosis*
  • Hodgkin Disease / metabolism
  • Humans
  • Immunohistochemistry
  • Ki-1 Antigen / metabolism
  • Lymphoma, B-Cell / metabolism
  • Lymphoma, B-Cell / pathology
  • Magnetic Resonance Imaging
  • Mediastinal Neoplasms / diagnostic imaging
  • Mediastinal Neoplasms / pathology
  • Middle Aged
  • Proto-Oncogene Proteins c-bcl-2 / metabolism
  • Radiography
  • Reed-Sternberg Cells / pathology

Substances

  • Ki-1 Antigen
  • Proto-Oncogene Proteins c-bcl-2