A Rare Case of Malignant Lymphoma Occurred at Spinal Epidural Space: A Case Report
Korean Journal of Spine
;
: 177-180, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-56405
ABSTRACT
The sacral spinal epidural space is an uncommon site for primary malignant lymphomas, presenting with symptoms associated with cauda equina compression. Especially, lumbo-sacral epidural lymphoma has been reported to be very rare. We present a rare case of 29-year-old male with sacral spinal epidural malignant lymphoma. The patient complained of tingling sensation in his buttocks that was radiating to his calf. The neurological examination was normal. Magnetic resonance imaging (MRI) with contrast showed a well-defined extradural mass lesion at the mid L5 to mid S2 level. The lesion was iso- to hypointense on T1 and T2 weighted images and showed homogenous enhancement and a focal enhancement in the L5 vertebral body on post-contrast images. The patient underwent a L5-S2 laminectomy and subtotal excision of the lesion. Intra-operatively, the lesion was extradural and not densely adherent to the dura; the lesion was friable, not firm, fleshy, brownish and hypervascular. The histologic diagnosis was grade 2 non-Hodgkin's follicular lymphoma. Even though the primary spinal epidural non-Hodgkin's lymphoma is a very rare disease, clinicians should take it into consideration in the differential diagnosis of patients with spinal epidural tumor.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Sensación
/
Linfoma no Hodgkin
/
Nalgas
/
Imagen por Resonancia Magnética
/
Neoplasias Epidurales
/
Cauda Equina
/
Linfoma Folicular
/
Enfermedades Raras
/
Diagnóstico
/
Diagnóstico Diferencial
Tipo de estudio:
Estudio diagnóstico
Límite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Korean Journal of Spine
Año:
2015
Tipo del documento:
Artículo
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