Dural-Based Marginal Zone Lymphoma in a Patient with Sarcoidosis

World Neurosurg. 2019 Feb:122:569-572. doi: 10.1016/j.wneu.2018.11.125. Epub 2018 Nov 23.

Abstract

Background: Primary dural-based lymphoma is a rare disease entity. It has been hypothesized that patients with sarcoidosis are at increased risk of developing lymphoma, an association known as "sarcoidosis-lymphoma syndrome," although dural disease has not yet been reported in the literature.

Case description: Here we report the first case of dural-based lymphoma in a 60-year-old man with a history of sarcoidosis, in keeping with sarcoidosis-lymphoma syndrome. His dural-based tumor was surgically resected. Pathology examination revealed a marginal zone B-cell lymphoma. Subsequent neural and systemic staging confirmed a localized lymphoma. The patient received local radiotherapy to control leptomeningeal disease.

Conclusions: Given the association between sarcoidosis and lymphoma, we suggest lymphoma to be considered as one of the top differentials for a dural-based mass lesion in patients with sarcoidosis.

Keywords: Dural-based lesions; Dural-based lymphoma; Lymphoma; Meningioma; Sarcoidosis.

Publication types

  • Case Reports

MeSH terms

  • Dura Mater / diagnostic imaging*
  • Dura Mater / surgery*
  • Humans
  • Lymphoma, B-Cell, Marginal Zone / complications
  • Lymphoma, B-Cell, Marginal Zone / diagnostic imaging*
  • Lymphoma, B-Cell, Marginal Zone / surgery*
  • Male
  • Middle Aged
  • Sarcoidosis / complications
  • Sarcoidosis / diagnostic imaging*
  • Sarcoidosis / surgery*