Epidural Lymphoma Mimicking Hematoma - A Case Report - (혈종으로 오인된 경막외 림프종 - 증례 보고 -)

Dong-Yeong Lee (이동영); KIM DONG HEE (김동희); Jeong Soon-Taek (정순택); 김근태; 양정욱

Epidural Lymphoma Mimicking Hematoma - A Case Report -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2017, 24(1), pp.49-54
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Dong-Yeong Lee ¹, KIM DONG HEE ¹, Jeong Soon-Taek ¹, 김근태 ², 양정욱 ³

¹경상대학교
²경상대학교 의학전문대학원 정형외과학교실
³경상대학교 의과대학 경주대학교병원 병리과교실

Accredited

ABSTRACT

Study Design: Case report. Objectives: To present a rare case of a spinal epidural lymphoma mimicking a hematoma. Summary of Literature Review: The incidence of extranodal invasion of lymphoma is very low, and spinal compression as a clinical symptom rarely occurs in extranodal lymphoma. Materials and Methods: A 37-year-old woman who complained of neck pain that had lasted for the past 3 months with no underlying disease visited the hospital and was treated conservatively with medication and physical therapy. Even though the patient was given an epidural injection 1 month prior to visiting our hospital, the pain lingered and the cervical myelopathy became aggravated, so the patient was initially diagnosed with epidural hematoma. This predisposed the patient to treatment strategies such as laminectomy and fusion, but the patient was ultimately diagnosed with non-Hodgkin lymphoma. Results: The patient underwent a laminectomy with excision of the lesion and fusion. The patient was diagnosed with non-Hodgkin lymphoma as a result of this, and the patient’s radicular pain and numbness improved immediately following surgery, except for mild weakness in both hands. Conclusions: Although spinal epidural lymphoma is similar to hematoma, and is a very rare disease, surgeons should take it into consideration in the differential diagnosis of patients with a spinal epidural lesion. Key words: Myelopathy, Epidural, Lymphoma, Non-Hodgkin lymphoma, Hematoma

KEYWORDS

Key words: Myelopathy, Epidural, Lymphoma, Non-Hodgkin lymphoma, Hematoma

Citation status

* References for papers published after 2023 are currently being built.

[journal] Freeman C / 1972 / Occurrence and prognosis of extranodal lymphomas / Cancer 29 : 252~260

[journal] Aabo K / 1986 / Central nervous system complications by malignant lymphomas : radiation schedule and treatment results / Int J Radiat Oncol Biol Phys 12 : 197~202

[journal] Lim CC / 1996 / Spinal epidural non-Hodgkin’s lymphoma : case reports of three patients presenting with spinal cord compression / Singapore Med J 37 : 497~500

[journal] 조재훈 / 2012 / Primary Malignant Lymphoma in a Spinal Cord Presenting as an Epidural Mass with Myelopathy: A Case Report / 대한척추신경외과학회지 / 대한척추신경외과학회 9(3) : 265~268

[journal] Mally R / 2011 / Primary Lumbo-sacral Spinal Epidural Non-Hodgkin’s Lymphoma : A Case Report and Review of Literature / Asian Spine J 5 : 192~195

[journal] Kapoor R / 2006 / Primary extradural non-Hodgkin’s lymphoma / JK Science 8 : 45~48

[journal] Braunistein EM / 1980 / Non-hodgkin’s lymphoma of bone / Radiology : 59~63

[journal] Mascalchi M / 1995 / MRI of spinal epidural lymphoma / Neuroradiology 37 : 303~307

[journal] 김진만 / 2011 / WHO Classification of Malignant Lymphomas in Korea: Report of the Third Nationwide Study / Journal of Pathology and Translational Medicine / 대한병리학회 45(3) : 254~260

KJCKorea
Journal Central

Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03