Primary Diffuse Large B-Cell Lymphoma in a Patient with Rubinstein–Taybi Syndrome: Case Report and Review of the Literature

Christopher Sy, James M Henry, Bhavani Kura, Andrew Brenner, Ramesh Grandhi

Research output: Contribution to journalArticle

Abstract

Background Rubinstein–Taybi syndrome (RSTS) is a rare, congenital syndrome that is known to be associated with neoplasms of various organ systems. Evaluation and treatment of such patients is challenging, given the cognitive delay and heterogeneity of pathologic presentations that define this syndrome. Case Description Presented here is a case of a patient with RSTS, diagnosed at birth, who presented with subtle symptoms of lethargy and a change in behavior. He was found to have a large (7.0-cm × 4.7-cm), right-sided brain mass that was eventually diagnosed as a primary central nervous system lymphoma. Conclusions To the best of our knowledge, this is the first reported case of a primary central nervous system lymphoma presenting in a patient with RSTS. This was confirmed through microscopic and histologic studies. The large size attained by this mass in our patient highlights the increased scrutiny and surveillance needed to provide the best care for these patients. A multidisciplinary team approach is ideal as successful treatment of our patient using surgical debulking, appropriate chemotherapy, and close postoperative follow-up has resulted in an excellent clinical outcome.

Original languageEnglish (US)
Pages (from-to)342-346
Number of pages5
JournalWorld Neurosurgery
Volume109
DOIs
StatePublished - Jan 1 2018

    Fingerprint

Keywords

  • Brain tumor
  • Diffuse large B-cell lymphoma
  • DLBCL
  • PCNSL
  • Primary CNS lymphoma
  • RSTS
  • Rubinstein–Taybi syndrome

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this