TABLE 1.
Patient | Age | Gender | Sign and symptoms | MRI finding | IHC | Treatment | Complications of treatment | OS | Final Statues |
---|---|---|---|---|---|---|---|---|---|
1 | 44 years | Female | Weakness in left limbs, urinary incontinency, dysarthria, and paresthesia of the left side of her face | Showed an enhancing mass in the right thalamic region and basal ganglia with mass effect in the right ventricle | – | Four cycles of 4.5 g/m2 MTX plus brain RT with total dose of 36 Gy | Insomnia, headache, decreased appetite | 20 months | Live |
2 | 60 years | Female | of headache and decrease in visual acuity | a faint heterogeneous mass with mass effect and edema in the left parietal lobe | CD20, LCA, Ki67+ and CK, CD3, GFAP, chromogranin − | Five cycles of 3 g/m2 MTX and then brain RT with total dose of 43.2 Gy | – | 33 months | Live |
3 | 42 years | Male | headache, paresthesia of the right side of his face as well as the right hand | – | Five cycles of 3.5 g/m2 MTX and then brain RT with total dose of 36 Gy | – | 14 months | Live | |
4 | 60 years | Male | headache and decreased visual acuity of the right eye | a large mass in the left parietal lobe with avid non‐homogenous contrast enhancement | – | Five cycles of 3 g/m2 MTX and then brain RT with total dose of 39.6 Gy | – | 33 months | Live |
5 | 55 years | Male | amnesia | an enhancing mass with a solid and cystic component in corpus callosum tail and edema | CD20, LCA+, CK, GFAP− | Five cycles of 3 g/m2 MTX and then brain RT with a total dose of 39.6 Gy | – | 26 months | Live |
6 | 54 years | Male | headache and left‐side hemiparesis and seizure | an enhancing mass in his right frontal lobe with mass effect | CD20, LCA+, CK, GFAP− | Five cycles of 3.5 g/m2 MTX and then brain RT with total dose of 36 Gy | Cataract | 20 months | Dead |
7 | 63 years | Female | headache, depression, cognitive disorders, and urinary incontinency | abnormal signal changes in the left frontotemporoparietal lobe with a considerable amount of edema and mild mass effect over the midline shifting structure | CD20, LCA+, CK, GFAP− | Four cycles of high‐dose MTX (3 g/m2) chemotherapy | Rise of serum creatinine, oral mucositis, pancytopenia, and death | 3 months | Dead a |
8 | 37 years | Female | headache, vertigo, and lower limb paraparesis | two masses accompanied by edema in her cerebellum |
CD20, LCA+CK, EMA, CD3, HMB45, NSE − |
Six cycles of high‐dose MTX (3.5 g/m2) chemotherapy and then underwent WBI with a total dose of 30.6 Gy | Mild neurocognitive disorders | 33 months | Live |
9 | 42 years | Female | amnesia and decrease in visual acuity | two foci with enhancement and edema, one in temproparietooccipital lobe and the other one, in the right ventricle | CD20 + | Six cycles of high‐dose MTX (3 g/m2) chemotherapy and then underwent brain RT with a total dose of 42 Gy | 42 months | Live | |
10 | 64 years | Female | blurred vision | an enhancing lesion with a size of 3 cm in the right frontal lobe | – | Six cycles of Chemotherapy with 3.5 g/m2 MTX and Rituximab (375 mg/m2), then Rituximab plus cytarabine, and then brain RT with a total dose of 30.6 Gy | Dizziness, Mild neurocognitive disorders | 15 months | Live |
11 | 57 years | Female | left‐side hemiparesis and dysarthria | an enhancing mass with extensive edema in the right temporal lobe | CD20, LCA+ CD3, CK GFAP− | Two cycles of 3 g/m2 MTX and then brain RT with total dose of 39.6 Gy, and after those Six cycles of R‐CHOP chemotherapy | Candidiasis of mouth, dizziness, weakness | 9 months | Dead |
During the chemotherapy course due to chemotherapy‐induced pancytopenia.