1naresh
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Patient no. 1 2 3 4 5 6 7 8 9 10 Sex/age (y) M/58 M/58 M/60 F/61 F/61 M/58 M/60 F/60 M/19 M/45 Clinical symptoms Focal motor/sensory deficits Hemiparesis Ataxia, diplopia, neuropsychologic deficits, somnolence Cerebellar syndrome, neuropsychologic deficits Focal sensory deficits Epilepsy (grand-mal) Epilepsy (grand-mal), ataxia, nmestic deficits, incontinence None Epilepsy (grand-mal status) Neuropsychologic deficits KPS (initially/at last follow-up), % 40/30 80/90 80/50 80/80 80.60 70/90 60/60 70/100 20/100 20/100 Median time to diagnosis (months) 1 1 1.5 2.5 0.5 32 2 0.5 3.5 6.5 Biopsy site Cervicothoracic spinal cord Right parietal Left basal ganglia Left parietal Right thalamus Left temporal Right frontal Left occipital Right temporal Left frontal Histopathology, growth fraction (Ki67/MIB-1) T-cell (perivascular infiltrates; small, mature lymphocytes); Ki-67/MIB-1: 20% T-cell (perivascular infiltrates; small, mature lymphocytes); Ki-67/MIB-1: 1% B-cell, not specified (perivascular infiltrates; small, mature lymphocytes with round nuclei); Ki-67/MIB-1: 1% B-cell, not specified (perivascular infiltrates; small, mature lymphocytes with round nuclei); Ki-67/MIB-1: 5% T-cell (perivascular infiltrates; small, mature lymphocytes with irregularly shaped nuclei); Ki-67/MIB-1: <5% B-cell, lymphoplasmacellular (small, mature lymphocytes with round, eccentric, nuclei); Ki-67/MIB-1: <5% Follicular lymphoma (diffuse variant), grade 1 (small cells with cleaved nuclei (centrocytes), 3 large cells per hpf with scant, basophillic cytoplasm, round to oval nuclei, 1–2 nucleoli (centroblasts); Ki-67/MIB-1: <5% B-cell, not specified (infiltrates with small, mature lymphocytes with round nuclei); Ki-67/MIB-1: 15% B-cell lymphoplasmacellular (small, mature lymphocytes with round, eccentric, nuclei); Ki-67/MIB-1; 2% B-cell, not specified (perivascular, small, mature lymphocytes with round nuclei); Ki-67/MIB-1: 4% Therapy Total resection, HDMTX, local RT HDMTX, WBI HDMTX HDMTX BMPD, MTX i.th. none BMPD, MTX i.th., CHOP, WBI HDMTX HDMTX HDMTX, WBI PFS/OAS (months) 3/5.5 27+/27+ 44.5+/44.5+ 22.5/22.5 2/3 14.5+/14.5+ 54+/54+ 58+/58+ 33.5+/33.5+ 10+/10+ Last status Died due to sepsis CR CR Died due to acute renal failure Died due to lymphoma CR CR CR NC CR
Note.—KPS indicates Karnofsky performance score; Ki-67/MIB-1, growth fraction of neoplastic cells as evidenced by staining with Ki-67 or MIB-1 antibody; hpf, high-power field of 0.159 mm2; (HD)MTX, (high-dose) methotrexate; RT, radiotherapy; WBI, whole-brain irradiation; i.th., intrathecally; BMPD, BCNU, methotrexaste, procarbazine, dexamethasone; CHOP, cyclophosphamide, doxorubicin, vincristine, prednisolone; PFS, progression-free survival; OAS, overall survival; CR, complete response; NC, no change.