Skip to main content
Log in

Chronic lymphocytic leukaemia presenting with central nervous system involvement

  • Case Report
  • Published:
Medical Oncology Aims and scope Submit manuscript

Abstract

A 68-year-old man presented with hemiparesis, lymphocytosis, and cerebral lesions on MRI. Flow cytometry of blood, bone marrow and cerebrospinal fluid showed B-CLL lymphocytes with bright CD20 expression, slg, and absence of CD23 antigen. Fluorescencein situ hybridisation showed trisomy 12 in 50% of analysed peripheral mononuclear cells. The patient died 6 months after the diagnosis. Rapidly progressive and fatal course of the disease was consistent with known bad prognostic significance of CD20 bright expression and trisomy 12.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Gahrton Get al. Nonrandom chromosomal aberrations in chronic lymphocytic leukemia revealed by polyclonal B-cell-mitogen stimulation.Blood 1980;56: 640–647.

    Article  CAS  PubMed  Google Scholar 

  2. Anastasi Jet al. Detection of trisomy 12 in chronic lymphocytic leukemia by fluorescencein situ hybridization to interphase cells: A simple and sensitive method.Blood 1998;79: 1796–1801.

    Article  Google Scholar 

  3. Juliusson G, Merup M. Cytogenetics in chronic lymphocytic leukemia.Semin Oncol 1998;25: 19–26.

    CAS  PubMed  Google Scholar 

  4. Stilgenbauer S, Dohner K, Bentz M, Lichter P, Dohner H. Molecular cytogenetic analysis of B-cell chronic lymphocytic leukemia.Ann Hematol 1998;76: 101–110.

    Article  CAS  PubMed  Google Scholar 

  5. O'Brien S, del Giglio A, Keating M. Advances in the biology and treatment of B-cell chronic lymphocytic leukemia.Blood 1995;85: 307–318.

    Article  CAS  PubMed  Google Scholar 

  6. Juliusson Get al. Prognostic information from cytogenetic analysis in chronic B-lymphocytic leukemia and leukemic immunocytoma.Blood 1985;65: 134–141.

    Article  CAS  PubMed  Google Scholar 

  7. Robert K-Het al. Extra chromosome 12 and prognosis in chronic lymphocytic leukemia.Scand J Haematol 1982;28: 163–168.

    Article  CAS  PubMed  Google Scholar 

  8. Juliusson G. Immunological and cytogenetic studies improve prognosis prediction in chronic B-lymphocytic leukemia: A multivariate analysis of 24 variables.Cancer 1986;58: 688–692.

    Article  CAS  PubMed  Google Scholar 

  9. Lane P, Townsend R, Beckstead J, Corash L. Central nervous system involvement in a patient with chronic lymphocytic leukemia and non-Hodgkin's lymphoma (Richter's syndrom), with concordant cell surface immunoglobulin isotypic and immunophenotypic markers.Am J Clin Pathol 1988;89: 254–259.

    Article  CAS  PubMed  Google Scholar 

  10. O'Neill B, Habermann T, Banks P, O'Fallon J, Earle J. Primary central nervous system lymphoma as a variant of Richter's syndrome in two patients with chronic lymphocytic leukemia.Cancer 1989;64: 1296–1300.

    Article  CAS  PubMed  Google Scholar 

  11. Bayliss K, Kueck B, Hanson C, Matthaeus W, Almagro U. Richter's syndrome presenting as primary central nervous system lymphoma. Transformation of an identical clone.Am J Clin Pathol 1990;93: 117–123.

    Article  CAS  PubMed  Google Scholar 

  12. Majumdar G. Chronic lymphocytic leukaemia with cerebral infiltration.Leuk Lymphoma 1998;28: 603–605.

    Article  CAS  PubMed  Google Scholar 

  13. Weizsaecker M, Kelmel H. Meningeal involvement in leukemias and malignant lymphomas of adults: incidence, course of disease, and treatment for prevention.Acta Neurol Scand 1979;60: 363–370.

    Article  CAS  PubMed  Google Scholar 

  14. Cash J, Fehir K, Pollack M. Meningeal involvement in early stage chronic lymphocytic leukemia.Cancer 1987;59: 656–659.

    Article  Google Scholar 

  15. Finn Wet al. Karyotypes correlates with peripheral blood morphology and immunophenotype in chronic lymphocytic leukemia.Am J Clin Pathol 1996;105: 458–467.

    Article  CAS  PubMed  Google Scholar 

  16. Matutes Eet al. Trisomy 12 defines a group of CLL with atypical morphology: Correlation between cytogenetic, clinical and laboratory features in 544 patients.Br J Haematol 1996;92: 382–388.

    Article  CAS  PubMed  Google Scholar 

  17. Molica S, Dattil A, Levato D. Clinical relevance of the intensity of CD20 antigen in B-cell chronic lymphocytic leukemia.Blood 1996;88(suppl): 239a.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Poplawska-Szczyglowska, L., Walewski, J., Pienkowska-Grela, B. et al. Chronic lymphocytic leukaemia presenting with central nervous system involvement. Med Oncol 16, 65–68 (1999). https://doi.org/10.1007/BF02787361

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02787361

Keywords

Navigation