PMID- 23923083 OWN - NLM STAT- MEDLINE DCOM- 20140321 LR - 20211021 IS - 1936-2625 (Electronic) IS - 1936-2625 (Linking) VI - 6 IP - 8 DP - 2013 TI - Primary anaplastic large cell lymphoma in the dura of the brain: case report and prediction of a favorable prognosis. PG - 1643-51 AB - Anaplastic large cell lymphoma (ALCL) is a rare T-cell lymphoma composed of CD30-positive lymphoid cells. ALCL arising in the dura matter of the brain is even more infrequent, in which only one case has been reported worldwide so far. We report a case of a 30-year-old immunocompetent male with a dura-based mass, radiographically consistent with meningioma. However, the excised mass via a left parieto-occipital craniotomy was composed of large, pleomorphic lymphoid cells to be immunopositive for CD3, CD30, anaplastic lymphoma kinase protein-1 (ALK-1) and epithelial membrane antigen (EMA), and immunonegative for CD20, CD15 and CD68. Multiple ALK gene fusion signals in the ALK locus were detected by fluorescence in situ hybridization (FISH) analysis. The patient was treated with CHOP chemotherapy and intrathecal methotrexate along with brain radiation therapy, which resulted in a complete remission. In an analysis of 25 previously reported primary CNS ALCLs, ALK-1 positivity was shown to be prevalent in younger age, as ALCL occurs outside the brain. Patient less than 23 years, ALK-1 positivity and unifocal tumor may be associated with a better prognosis. However, sex, dural or leptomeningeal involvement, immune status, and tumor necrosis do not appear to have any influence on survival. FAU - Kim, Min-Kyung AU - Kim MK AD - Department of Pathology, School of Medicine, Catholic University of Daegu, Daegu, Republic of Korea. FAU - Cho, Chang-Ho AU - Cho CH FAU - Sung, Woo-Jung AU - Sung WJ FAU - Ryoo, Hun-Mo AU - Ryoo HM FAU - Lee, Ho-Jun AU - Lee HJ FAU - Youn, Sung-Won AU - Youn SW FAU - Park, Kwan-Kyu AU - Park KK LA - eng PT - Case Reports PT - Journal Article DEP - 20130715 PL - United States TA - Int J Clin Exp Pathol JT - International journal of clinical and experimental pathology JID - 101480565 RN - 0 (Biomarkers, Tumor) RN - 0 (Oncogene Proteins, Fusion) RN - 5J49Q6B70F (Vincristine) RN - 80168379AG (Doxorubicin) RN - 8N3DW7272P (Cyclophosphamide) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - VB0R961HZT (Prednisone) RN - CHOP protocol SB - IM MH - Adult MH - Anaplastic Lymphoma Kinase MH - Antineoplastic Combined Chemotherapy Protocols MH - Biomarkers, Tumor/analysis/genetics MH - Combined Modality Therapy MH - Cranial Irradiation MH - Cyclophosphamide MH - Doxorubicin MH - Dura Mater/*pathology MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lymphoma, Large-Cell, Anaplastic/genetics/*pathology/*therapy MH - Male MH - Meningeal Neoplasms/genetics/*pathology/*therapy MH - Oncogene Proteins, Fusion/genetics MH - Prednisone MH - Prognosis MH - Receptor Protein-Tyrosine Kinases/genetics MH - Vincristine PMC - PMC3726981 OTO - NOTNLM OT - ALK-positive OT - Anaplastic large cell lymphoma OT - dura OT - primary tumor OT - prognosis EDAT- 2013/08/08 06:00 MHDA- 2014/03/22 06:00 PMCR- 2013/07/15 CRDT- 2013/08/08 06:00 PHST- 2013/06/18 00:00 [received] PHST- 2013/07/10 00:00 [accepted] PHST- 2013/08/08 06:00 [entrez] PHST- 2013/08/08 06:00 [pubmed] PHST- 2014/03/22 06:00 [medline] PHST- 2013/07/15 00:00 [pmc-release] PST - epublish SO - Int J Clin Exp Pathol. 2013 Jul 15;6(8):1643-51. Print 2013.