Current Problems in Cancer: Case Reports (Dec 2021)

An unusual presentation of lymphoma

  • Christopher Shwei Wen Tham,
  • Ya Hwee Tan,
  • Kenneth Michael Yun Chi Chew,
  • Chun Yuan Khoo,
  • Lester Lee,
  • Soon Thye Lim,
  • Valerie Shiwen Yang

Journal volume & issue
Vol. 4
p. 100080

Abstract

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This case illustrates an unusual presentation of diffuse large B cell lymphoma (DLBCL) with florid central nervous system disease and an isolated right coronary artery lesion. Differentials included primary central nervous system lymphoma with IgG4-related disease of the right coronary artery, versus Stage IV DLBCL of the right coronary artery with CNS involvement. This case posed a diagnostic conundrum and challenged the choice of optimal treatment.

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