1. Primary Dumbbell-Shaped Lymphoma of the Thoracic Spine: A Case Report.
- Author
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Meola, Antonio, Perrini, Paolo, Montemurro, Nicola, di Russo, Paolo, and Tiezzi, Giacomo
- Subjects
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LYMPHOMA diagnosis , *LYMPHOMA treatment , *THORACIC vertebrae , *RARE diseases , *SPINE , *SPINAL cord compression , *LAMINECTOMY , *CANCER radiotherapy , *MAGNETIC resonance imaging - Abstract
Primary spinal non-Hodgkin's lymphoma is extremely rare, and the occurrence of spinal dumbbell-shaped lymphoma is exceptional. We present a case of primary spinal dumbbell-shaped lymphoma to clarify the diagnosis and the management of these lesions. A 45-year-old man presented with sensory symptoms for 8 months. Magnetic resonance imaging of the thoracic spine demonstrated a dumbbell-shaped lesion at the D4-D6 level with spinal cord compression and right foraminal extension at D4-D5 level. The patient underwent D4-D6 laminectomy, with a subtotal resection of the mass. Diffuse large B-cell lymphoma was diagnosed in the pathological examination. He underwent local spinal radiotherapy and chemotherapy. Follow-up evaluation at one year demonstrated no evidence of relapse. Although highly unusual, lymphoma should be included in the differential diagnosis for spinal dumbbell-shaped tumours. After surgery and adjuvant therapy a long-term clinical and neuroradiological followup is mandatory. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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