An unusual presentation of lymphoma

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

Format: Article
Diterbitkan: Elsevier 2021-12-01

Deskripsi

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.