Primary Spinal Epidural Lymphoma: A Case Report

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.

Keywords

• primary spinal epidural lymphoma
• thoracic spine
• spinal cord compression
• surgery
• chemotherapy