Chronic lymphocytic leukemia with central nervous system involvement: report of two cases with a comprehensive literature review

被引：40

作者：

Moazzam, Alan A. ^{[1
]}

Drappatz, Jan ^{[2
]}

Kim, Ryan Y. ^{[1
]}

Kesari, Santosh ^{[1
]}

机构：

[1] Univ Calif San Diego, Dept Neurosci, Moores UCSD Canc Ctr, La Jolla, CA 92093 USA

[2] Brigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA

来源：

JOURNAL OF NEURO-ONCOLOGY | 2012年 / 106卷 / 01期

关键词：

Leukemia; Chronic lymphocytic leukemia; CNS; Leptomeningeal metastases; Brain; CELL PROLYMPHOCYTIC LEUKEMIA; LEPTOMENINGEAL INVOLVEMENT; RICHTERS-SYNDROME; MENINGEAL INVOLVEMENT; CNS INVOLVEMENT; INTRATHECAL METHOTREXATE; CEREBROSPINAL-FLUID; HODGKINS LYMPHOMA; OPTIC NEUROPATHY; MENINGITIS;

D O I：

10.1007/s11060-011-0636-z

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Central nervous system (CNS) involvement is a rare complication of chronic lymphocytic leukemia (CLL) with varied outcomes. We contribute two additional cases of CLL with CNS involvement. The clinical course and response to treatment are described. All 78 previously reported cases of CLL with CNS involvement are presented in this comprehensive review of the literature. CNS involvement of CLL is a rare complication that does not seem to correlate with any evident risk factors. Resolution of CNS symptoms can often be accomplished with intrathecal chemotherapy or irradiation. Early detection and treatment may result in better outcomes in this rare complication.

引用

页码：185 / 200

页数：16

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