Non-Hodgkins Lymphoma Presenting as a Skull Metastases: Case Report

Yam Bahadur Roka,Mohan Karki,Narayani Roka

doi:10.3126/egn.v3i01.38979

Abstract

The incidence of cerebral metastases has increased over the last few decades mainly due to the successful treatment of extra neural cancers and the prolonged survival of patients. The common causes of metastases are lung, kidney, breast and thyroid cancers. We present an interesting case of cerebral metastases that was managed as cerebral abscess, then as lung metastases before finally arriving to the correct diagnosis of Non-Hodgkin’s Lymphoma.

Highlights

Case Description:A 63-year-old female presented to the hospital with history of a progressively enlarging mass over the right frontal area for the last three months
In cases with systemic cancer the incidence of cerebral metastases has increased over the last few decades with an incidence of 20-25%.1 The common causes of metastases are lung, kidney, breast and thyroid cancers.[2]
We present an interesting case of cerebral metastases that was managed initially as cerebral abscess, followed by lung metastases before being diagnosed as a case of Non-Hodgkin’s lymphoma (NHL)

Summary

Case Description:

A 63-year-old female presented to the hospital with history of a progressively enlarging mass over the right frontal area for the last three months. There was history of minor trauma to the site along with few spells of fever, nausea and abdominal pain. She had been managed elsewhere as a case of localized abscess with antibiotics, analgesics and antiemetic’s with no relief in symptoms. There was a 5X 5 cm mass over the right frontal area which was firm; non-tender, fixed, non-pulsatile and non-reducible (Figure 1A). Chest Skiagram showed a right paramediastinal mass which was assumed to be carcinoma lung in view of the history of heavy smoking (Figure 1B). Computed tomogram (CT) of the head showed heterogeneously enhancing right frontal dumbbell mass which was extending intracranially to the epidural space (Figure 1C). Date submitted: 25/ 03/2021 Date accepted: 31/03/2021 egneuro Volume 03, Issue 01, 2021

Discussion

Conclusion