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Journals / İstanbul Medical Journal / 2020 / Cilt: 21 - Sayı: 1

Primary Spinal Epidural Lymphoma: A Case Report

Primer Spinal Epidural Lenfoma: Olgu Sunumu

Hilal Tan Köker
Ömer Faruk Şahin
Gülben Erdem Huq
Feray Akbaş
Özgür Baran
Nuriye Güzin Özdemir
Pages
32–35
Publication Date
2022-10-19
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Patients presenting with back and leg pain should be considered for primary spinal epidural lymphoma, and the treatment should be planned accordingly since patients have good prognosis with early treatment

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Primary spinal epidural lymphomas are the disorders that are very rarely seen.
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Key Findings & Data:A 46-yearold man presented with back and leg pain with progressive weakness of the lower extremities.
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Conclusion & Impact:Patients presenting with back and leg pain should be considered for primary spinal epidural lymphoma, and the treatment should be planned accordingly since patients have good prognosis with early treatment
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Primary spinal epidural lymphomas are the disorders that are very rarely seen. Spinal cord compression requires surgical decompression after which chemotherapy is initiated. A 46-yearold man presented with back and leg pain with progressive weakness of the lower extremities. Magnetic resonance imaging showed an extradural mass lesion compressing the cord anterolaterally and posteriorly at T-11. Surgical decompression with tumoural resection was performed. The pathological examination was reported as diffuse large B-cell lymphoma with germinal centre phenotype. Chemotherapy was initiated by the haematology clinic, and the patient was referred to physical therapy unit for his minimal paraparesis. After the operation, no pathologic involvement was observed on positron emission tomography. Patients presenting with back and leg pain should be considered for primary spinal epidural lymphoma, and the treatment should be planned accordingly since patients have good prognosis with early treatment

Özet

Primer spinal epidural lenfomalar çok nadir görülen lezyonlardır. Omurilik basısı olması halinde cerrahi dekompresyon ve sonrasında kemoterapi başlanması gereklidir. Kırk altı yaşında erkek hasta sırt ve bacak ağrısı, bacaklarda giderek artan güç kaybı ve yürüme güçlüğü yakınmalarıyla başvurdu. Manyetik rezonans görüntülemede T-11 seviyesinde korda anterolateral ve posterior olarak basan ekstradural kitle lezyonu izlendi. Tümöral rezeksiyonla birlikte cerrahi dekompresyon yapıldı. Patoloji sonucu germinal merkez fenotipli B-hücreli lenfoma infiltrasyonu olarak geldi. Hematoloji kliniği tarafından kemoterapi başlandı. Hasta minimal parapareziyle fizik tedaviye sevk edildi. Ameliyat sonrası pozitron emisyon tomografisinde patolojik tutulum gözlenmedi. Sırt ve bacak ağrısıyla birlikte bacaklarda güç kaybı ve yürüme güçlüğü olan hastalarda primer spinal epidural lenfoma tanısı göz önünde bulundurulmalı, hastaların tedaviye iyi yanıt vermesi nedeniyle erken teşhis ile tedavi iyi planlanmalıdır.

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Cite This Article

Köker, H. T., Şahin, Ö. F., Huq, G. E., Akbaş, F., Baran, Ö., Özdemir, N. G. (2022). Primary Spinal Epidural Lymphoma: A Case Report. İstanbul Medical Journal, Cilt: 21 - Sayı: 1, 32–35. https://ajindex.com/articles/551872

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