Primary brain non-hodgkins lymphoma a case report in sanglah general hospital denpasar

Primary central nervous system lymphoma (PCNSL) is a rare form of extranodal lymphoma found within brain, leptomeningens, eyes, or spinal cord, without any lymphoma in other site. Primary central nervous system lymphoma represents 1-6% of intracranial tumors and 1-2% of extranodal lymphoma. A 45-year-old man complained of left side headache and weakness of right-side body since 1.5 months ago. The contrast computed tomography scan revealed solid mass sized 2.4 x 2 cm in left parietal lobe, suspected of primary brain tumor (glioblastoma multiforme or high-grade astrocytoma). Tumor resection was performed and the result is non-Hodgkin’s lymphoma. There were no other systemic manifestations. The patient had received 20 times whole brain radiotherapy and physiotherapy. Three months after operation, the patient’s condition improved although he still complained of right hemiparesis without other problems. In conclusion, PCNSL is a rare disease in immunocompetent patient. Brain tumor resection and radiotherapy can improve patient’s quality of life and activity of daily living.