Korean J Spine.  2015 Sep;12(3):177-180. 10.14245/kjs.2015.12.3.177.

A Rare Case of Malignant Lymphoma Occurred at Spinal Epidural Space: A Case Report

Affiliations
  • 1Department of Neurosurgery, Korea University Anam Hospital, University College of Medicine, Seoul, Korea. jblee42@gmail.com

Abstract

The sacral spinal epidural space is an uncommon site for primary malignant lymphomas, presenting with symptoms associated with cauda equina compression. Especially, lumbo-sacral epidural lymphoma has been reported to be very rare. We present a rare case of 29-year-old male with sacral spinal epidural malignant lymphoma. The patient complained of tingling sensation in his buttocks that was radiating to his calf. The neurological examination was normal. Magnetic resonance imaging (MRI) with contrast showed a well-defined extradural mass lesion at the mid L5 to mid S2 level. The lesion was iso- to hypointense on T1 and T2 weighted images and showed homogenous enhancement and a focal enhancement in the L5 vertebral body on post-contrast images. The patient underwent a L5-S2 laminectomy and subtotal excision of the lesion. Intra-operatively, the lesion was extradural and not densely adherent to the dura; the lesion was friable, not firm, fleshy, brownish and hypervascular. The histologic diagnosis was grade 2 non-Hodgkin's follicular lymphoma. Even though the primary spinal epidural non-Hodgkin's lymphoma is a very rare disease, clinicians should take it into consideration in the differential diagnosis of patients with spinal epidural tumor.

Keyword

Lymphoma; Epidural space lymphoma; Sacral lymphoma; Non-Hodgkin

MeSH Terms

Adult
Buttocks
Cauda Equina
Diagnosis
Diagnosis, Differential
Epidural Neoplasms
Epidural Space*
Humans
Laminectomy
Lymphoma*
Lymphoma, Follicular
Lymphoma, Non-Hodgkin
Magnetic Resonance Imaging
Male
Neurologic Examination
Rare Diseases
Sensation
Full Text Links
  • KJS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr