{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T17:47:58Z","timestamp":1721411278726},"reference-count":20,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Primary central nervous system lymphoma (PCNSL) is a rare, aggressive non-Hodgkin lymphoproliferative neoplasm. Surgery is traditionally limited to biopsy due to past studies, but recent strong evidence continues to challenge this status quo in selected patients. Here, the authors characterize a case to illustrate the potential role of surgery and foster research on integrative medical management approaches for this disease.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 73-year-old woman was admitted to the hospital with aphasia and confusion. Neuroimaging suggested a lymphoproliferative process. The patient underwent cytoreductive surgery to resect the lesion. Microscopically, large infiltrating lymphoid cells that induced brain tissue damage were observed, and a diagnosis of diffuse large B-cell lymphoma was made based on immunohistochemistry. The patient evolved clinically post surgery. A complete response to further chemotherapy maintained the patient\u2019s clinical recovery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This rare case highlights the potential of surgical intervention in the management of selected patients with PCNSL. The authors also underscore the recent, meta-analytic evidence on surgery followed by combined chemotherapy for the management of specific cases. The reported recovery in an elderly patient is noteworthy and adds to the literature on this rare subtype of brain tumors. Future research should consider investigating a potential profile of candidates for resection and combined chemotherapy in PCNSL.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_431_2023","type":"journal-article","created":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T06:21:05Z","timestamp":1693549265000},"page":"310","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Primary central nervous system lymphoma in elderly: An illustrative case of the new role of surgery and integrative medical management"],"prefix":"10.25259","volume":"14","author":[{"given":"Augusto M\u00fcller","family":"Fiedler","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University of Miami Hospital, Miami, Florida, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo Moacir Mesquita","family":"Filho","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Affiliated Hospital of Atitus Education School of Medicine, Rio Grande do Sul, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra Loureiro","family":"Morassutti","sequence":"additional","affiliation":[{"name":"Department of Pathology, School of Medicine and Postgraduate Program in Dentistry, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robson","family":"Rottenfusser","sequence":"additional","affiliation":[{"name":"Department of Radiology, Affiliated Hospital of Atitus Education School of Medicine, Passo Fundo, Rio Grande do Sul, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Lima","family":"Varela","sequence":"additional","affiliation":[{"name":"Department of Neurology, Affiliated Hospital of Atitus Education School of Medicine, Passo Fundo, Rio Grande do Sul, 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