An unusual presentation of lymphoma

• Published in: Current problems in cancer. Case reports Vol. 4; p. 100080
• Main Authors: Tham, Christopher Shwei Wen, Tan, Ya Hwee, Chew, Kenneth Michael Yun Chi, Khoo, Chun Yuan, Lee, Lester, Lim, Soon Thye, Yang, Valerie Shiwen
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.12.2021; Elsevier
• Subjects: Diffuse large B cell lymphoma; IgG4-related disease; Primary central nervous system lymphoma; Diffuse large B cell lymphoma; Primary central nervous system lymphoma; IgG4-related disease
• ISSN: 2666-6219; 2666-6219
• DOI: 10.1016/j.cpccr.2021.100080

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.