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The solitary skull mass: An atypical presentation of anaplastic large cell lymphoma.

Created on 23 Aug 2026

Authors

Max Gevorkian, Ellen Y Chang, Reza Assadsangabi, Juliana H Kim, Jack Harlan, Bryce D Beutler

Published in

Radiology case reports. Volume 21. Issue 11. Pages 5329-5334. Epub Aug 13, 2026.

Abstract

Anaplastic large cell lymphoma (ALCL) is a rare type of non-Hodgkin lymphoma characterized by neoplastic proliferation of CD30-positive T lymphocytes. Three distinct genotypic subtypes have been described, each of which demonstrates distinct biomolecular features and phenotypic manifestations. Anaplastic lymphoma kinase (ALK)-positive ALCL typically affects adolescents and young adults and has a favorable prognosis. ALK-negative ALCL is more common in middle-aged adults and has a relatively poor prognosis with higher rates of treatment resistance and relapse. Breast implant-associated ALCL (BIA-ALCL) is an uncommon subtype that arises within the fibrous capsule or pericapsular fluid surrounding breast implants. Individuals with ALK-positive ALCL usually present with lymphadenopathy, fever, night sweats, and fatigue. Osseous involvement is rare. We present the case of a 21-year-old male who presented with a single tender, palpable skull mass and was subsequently found to have ALK-positive ALCL. In addition, we review the differential diagnosis for calvarial lesions as well as imaging features and management of ALK-positive ALCL. This case emphasizes that lymphoma should remain an important diagnostic consideration when evaluating an aggressive transcalvarial mass.

PMID:
42633176
Bibliographic data and abstract were imported from PubMed on 23 Aug 2026.

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