====== Lymphoma ====== ===== General information ===== ==== Key concepts ==== ● may be primary ([[Primary central nervous system lymphoma]]) or secondary (pathologically identical) ● suspected with homogeneously enhancing lesion(s) in the central gray matter or corpus callosum (on MRI or CT) especially in AIDS patients ● may present with multiple cranial-nerve palsies ● diagnosis highly likely if tumor seen in conjunction with uveitis ● very responsive initially to steroids → short-lived disappearance (“ghost tumors”) ● treatment: usually XRT ± chemotherapy. Role of neurosurgery usually limited to biopsy and/or placement of ventricular access reservoir for chemotherapy ● risk factors: immunosuppression (AIDS, transplants), Epstein-Barr virus, collagen vascular diseases ===== Classification ===== [[Lymphoma Classification]].