Which specialist consultations are beneficial to patients with primary central nervous system lymphoma (PCNSL)?

Updated: Jan 19, 2018
  • Author: Tarakad S Ramachandran, MBBS, MBA, MPH, FAAN, FACP, FAHA, FRCP, FRCPC, FRS, LRCP, MRCP, MRCS; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Answer

Ophthalmologic consultation is required as part of the initial workup and staging of PCNSL, in order to exclude vitreous involvement. Vitrectomy may be performed to establish diagnosis for patients with abnormal findings on slit-lamp examination.

Medical oncologic consultation is appropriate for any patient with suspected PCNSL who has an abnormal chest or abdominal CT scan; patients with CBC abnormalities may need bone marrow biopsy. Before beginning treatment for PCNSL, systemic disease that would alter the planned chemotherapy drug regimen must be ruled out.


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