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Primary Dural Mucosa-Associated Lymphoid Tissue-Type Lymphoma: Case Report and Review of the Literature

M. Rottnek1, J. Strauchen1, F. Moore2 and S. Morgello1

(1) Department of Pathology (Division of Neuropathology), The Mount Sinai Medical Center, New York City, NY, USA
(2) Department of Neurosurgery, The Mount Sinai Medical Center, New York City, NY, USA

Abstract  A 47-year-old Hispanic male presented with visual field disturbances, memory impairment, and a seizure. CT and MRI were consistent with meningioma. Both neurologic exam and routine laboratory tests were within normal limits. The patient underwent craniotomy and subtotal resection of the tumor. On H&E, the lesion was composed of a lymphoid mass with well-defined irregularly shaped follicles surrounded by a monomorphic population of small lymphocytes. Marginal zones stained for B-cell markers, CD20 and CD79a, one T-cell marker, CD43, and kappa light chains. While other markers did not stain the majority of tumor cells, they did identify other lymphoid and plasma cell elements. A diagnosis of marginal zone B-cell lymphoma of dura, mucosa-associated lymphoid tissue (MALT)-type (extranodal) was made. MALT-type lymphomas are unusual in the nervous system; this is the first such case reported in a male and serves to emphasize the wide diversity of presentation of a neoplasm originally described in the GI tract and thus far described in the CNS only in females.

CNS MALToma - dural lymphoma


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