Diagnostics and treatment delay in primary central nervous system lymphoma: What the neurosurgeon should know - Takeaways - MDSpire

Diagnostics and treatment delay in primary central nervous system lymphoma: What the neurosurgeon should know

  • By

  • M. C. Hasner

  • M. P. van Opijnen

  • M. van der Meulen

  • R. M. Verdijk

  • S. L. N. Maas

  • L. C. J. te Boome

  • M. L. D. Broekman

  • June 11, 2024

  • 0 min

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  • 1

    Primary central nervous system lymphomas (PCNSL) are rare, comprising less than 1% of lymphomas and 4% of brain tumors.

  • 2

    PCNSL is most commonly associated with immunodeficiency and presents with symptoms like cognitive changes, focal deficits, and headaches.

  • 3

    High-dose methotrexate is the cornerstone of PCNSL treatment, but there is no standardized international treatment protocol.

  • 4

    The gold standard for diagnosing PCNSL is histopathological analysis after a stereotactic biopsy, with a diagnostic yield over 91%.

  • 5

    Prognosis for PCNSL varies significantly with age, with a 5-year overall survival rate of 35% for the total population and only 6% for those over 70.

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