| Popis: |
Case description 65-year-old female. One month before the checkup, she had a bruise on the parietal region of her head. The patient was referred to our department because a subdural hematoma was suspected on the MRI scan of the head taken at a brain checkup. However, a few months after the initial visit, headache localized around the bruised area began to appear. Since the headache symptoms did not improve, he returned to our department and contrast-enhanced MRI was performed again. Contrast-enhanced MRI showed a tumor lesion of more than 6 cm in size, which infiltrated subcutaneously, epidurally, intradurally, and contralaterally. Other mass lesions were also found in the left frontal region and left neck. The patient underwent subcutaneous mastectomy to remove the left parietal subcutaneous mass and confirm the diagnosis. The scalp tumor had a soft and elastic subcutaneous mass, which was easily detached from the scalp and bone, removed in one lump. The pathological diagnosis was malignant lymphoma. The patient was transferred to the Department of Hematology and started R-MPV therapy. Conclusion No case has been reported in the literature that led to the diagnosis of malignant lymphoma during a brain checkup. In the present case, a subdural hematoma was diagnosed at the brain checkup because of the origin of the tumor and the history of head injury at the same site. However, there is a report that it was a subcutaneous mass and an epidural mass caused by malignant lymphoma mimicking epidural hematoma. This should be kept in mind. Although the brain scan was not sufficient to screen the patient, the fact that the patient was symptomatic confirmed the diagnosis, and the patient had an outcome that led to subsequent treatment. |
