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

Current Problems In Cancer: Case Reports（2021）

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Abstract

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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Key words

Diffuse large B cell lymphoma, Primary central nervous system lymphoma, IgG4-related disease

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