Lymphoblastic lymphoma case

Chief Complaint A 41 year old female presents with severe headache and left hemiplegia. History She has h/o a lymphoblastic lymphoma with CNS involvement. She underwent bone marrow transplantation 10 years back. Now she presents with headache & left hemiplegia. Investigations MRI brain shows a gross mass in the right temporal lobe. Treatment How should we proceed with the case? What is the prognosis of the case? What is the rate of recurrence?

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History of lymphoblastic lymphoma treated with BMT 10 years ago. She has now intracranial mass ,right temporal region ,causing hemiplegia . Needs MRI angio , / PET CT , biopsy from the mass , to find out whether this is recurrence of lymphoblastic lymphoma or different malignancy . Steroids ,antiedema measures , anti seizure medications suggested

Recurrence or metastatic lesion please gi for oncologist & neurosurgeon opinion for further treatment and management

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