Primary Diffuse Large XXXX of Central Nervous System: Is Still Surgery an Unorthodox Treatment?

@entity1 @entity5 @entity4 @entity1221 @entity149 @entity1892 @entity302 @entity1893 @entity2287
UNASSIGNED: @entity149 ( @entity149 ) is characterized as an extra-nodal @entity1893 which develops from the neuraxis. The purpose was to report a case of a @entity1 with a supra-tentorial @entity5 who underwent subtotal resection of his @entity5 as his biopsy was not indicative of a @entity1221 and had uneventful recovery until his last follow-up. A 42-year-old @entity1 was admitted to our department for generalized @entity302 . CT and MRI examinations revealed a @entity5 in his right parietal-occipital lobe that was surrounded by @entity4 and was enhancing after @entity2287 administration. The @entity1 underwent a navigation-assisted parieto-occipital craniotomy and posterior parietal transcortical approach for @entity5 biopsy which was not indicative of @entity1221 . The surgical team decided to remove the @entity5 on site. Histological analysis of the resected specimen showed primary diffuse large @entity1892 . Combined chemotherapy and radiation therapy was applied to the @entity1 , and at his last follow-up (16 months), he is @entity5 free. In our case as in several other studies during the last decade, the outcome after the surgical resection of a @entity1221 in combination to radiation and chemotherapy was unexpectedly good. The role of surgery probably should be reconsidered for single lesion @entity1221 .
