脊柱旁软组织非典型T细胞淋巴瘤导致的脊髓压迫:病例报告。

Alejandro Augusto Ortega Rodriguez, Santiago Nicolás Valbuena Dussan, José Luís Caro Cardera, Jordi de Manuel-Rimbau Muñoz
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引用次数: 0

摘要

在淋巴瘤的自然病史中,5%-10%的病例可能会出现中枢神经影响。我们报告了一例 57 岁男性淋巴瘤患者的病例,他在发病不到 24 小时就出现了偏瘫、下肢麻木和括约肌功能障碍等症状,并因背侧肿瘤伴硬膜外成分导致严重脊髓压迫而接受了手术。病理分析得出的结论是非典型T细胞淋巴母细胞淋巴瘤,这是一种罕见的淋巴瘤亚型,占所有非霍奇金淋巴瘤的1%-2%。我们的病例由于起源于脊柱旁软组织,因此具有特别的侵袭性和非典型性。尽管接受了特殊治疗,患者还是出现了硬膜外早期复发,这在这种淋巴瘤亚型中很常见。
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Cord compression due to atypical T-cell lymphoma from paraspinal soft tissue: Report of a case.

During lymphoma's natural history of disease, 5-10% of cases may develop Central Nervous affectation. We present the case of a 57-years-old man with less than 24 h of onset symptoms of paraparesis, lower limb hypoesthesia and sphincter dysfunction who was operated due to dorsal tumor with epidural component which caused severe cord compression. Pathological analysis concluded atypical T-cell lymphoblastic lymphoma, a rare subtype of lymphoma which accounts 1%-2% of all Non-Hodgkin Lymphomas. Our case was particularly aggressive and atypical due to its origin in paraspinal soft tissue. Despite specific treatment, the patient presented an early epidural relapse, frequent in this lymphoma subtype.

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