Cargando…

Spinal Burkitt's Lymphoma Mimicking Dumbbell Shape Neurogenic Tumor: A Case Report and Review of the Literature

Non-Hodgkin's lymphoma (NHL), a disease which may involve the spine, is frequently associated with advanced disease. Radiculopathy caused by spinal root compression as the initial presentation in patients with NHL is very rare and thought to occur in less than 5% of cases. A 69-year-old woman c...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, You-Sub, Lee, Jung-Kil, Choi, Ki-Young, Jang, Jae-Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Spinal Neurosurgery Society 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4623190/
https://www.ncbi.nlm.nih.gov/pubmed/26512290
http://dx.doi.org/10.14245/kjs.2015.12.3.221
_version_ 1782397654014099456
author Kim, You-Sub
Lee, Jung-Kil
Choi, Ki-Young
Jang, Jae-Won
author_facet Kim, You-Sub
Lee, Jung-Kil
Choi, Ki-Young
Jang, Jae-Won
author_sort Kim, You-Sub
collection PubMed
description Non-Hodgkin's lymphoma (NHL), a disease which may involve the spine, is frequently associated with advanced disease. Radiculopathy caused by spinal root compression as the initial presentation in patients with NHL is very rare and thought to occur in less than 5% of cases. A 69-year-old woman complained of a history of low back pain with right sciatica for 1 month prior to admission. Computed tomography and magnetic resonance imaging of the lumbar spine showed a dumbbell-shape epidural mass lesion extending from L2 to L3, which was suggestive of a neurogenic tumor. After paraspinal approach and L2 lower half partial hemilaminectomy, total excision of the tumor was achieved, followed by rapid improvement of back pain and radiating pain. The lesion was confirmed to be Burkitt's lymphoma by histopathological examination. We then checked whole-body PET-CT, which showed multifocal malignant lesions in the intestine, liver, bone and left supraclavicular lymph node. Although a rare situation, Burkitt's lymphoma should be considered in the differential diagnosis for patients presenting with back and lumbar radicular pain without a prior history of malignancy. Burkitt's lymphoma could be the cause of dumbbell-shape spinal tumor.
format Online
Article
Text
id pubmed-4623190
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher The Korean Spinal Neurosurgery Society
record_format MEDLINE/PubMed
spelling pubmed-46231902015-10-28 Spinal Burkitt's Lymphoma Mimicking Dumbbell Shape Neurogenic Tumor: A Case Report and Review of the Literature Kim, You-Sub Lee, Jung-Kil Choi, Ki-Young Jang, Jae-Won Korean J Spine Case Report Non-Hodgkin's lymphoma (NHL), a disease which may involve the spine, is frequently associated with advanced disease. Radiculopathy caused by spinal root compression as the initial presentation in patients with NHL is very rare and thought to occur in less than 5% of cases. A 69-year-old woman complained of a history of low back pain with right sciatica for 1 month prior to admission. Computed tomography and magnetic resonance imaging of the lumbar spine showed a dumbbell-shape epidural mass lesion extending from L2 to L3, which was suggestive of a neurogenic tumor. After paraspinal approach and L2 lower half partial hemilaminectomy, total excision of the tumor was achieved, followed by rapid improvement of back pain and radiating pain. The lesion was confirmed to be Burkitt's lymphoma by histopathological examination. We then checked whole-body PET-CT, which showed multifocal malignant lesions in the intestine, liver, bone and left supraclavicular lymph node. Although a rare situation, Burkitt's lymphoma should be considered in the differential diagnosis for patients presenting with back and lumbar radicular pain without a prior history of malignancy. Burkitt's lymphoma could be the cause of dumbbell-shape spinal tumor. The Korean Spinal Neurosurgery Society 2015-09 2015-09-30 /pmc/articles/PMC4623190/ /pubmed/26512290 http://dx.doi.org/10.14245/kjs.2015.12.3.221 Text en Copyright © 2015 The Korean Spinal Neurosurgery Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, You-Sub
Lee, Jung-Kil
Choi, Ki-Young
Jang, Jae-Won
Spinal Burkitt's Lymphoma Mimicking Dumbbell Shape Neurogenic Tumor: A Case Report and Review of the Literature
title Spinal Burkitt's Lymphoma Mimicking Dumbbell Shape Neurogenic Tumor: A Case Report and Review of the Literature
title_full Spinal Burkitt's Lymphoma Mimicking Dumbbell Shape Neurogenic Tumor: A Case Report and Review of the Literature
title_fullStr Spinal Burkitt's Lymphoma Mimicking Dumbbell Shape Neurogenic Tumor: A Case Report and Review of the Literature
title_full_unstemmed Spinal Burkitt's Lymphoma Mimicking Dumbbell Shape Neurogenic Tumor: A Case Report and Review of the Literature
title_short Spinal Burkitt's Lymphoma Mimicking Dumbbell Shape Neurogenic Tumor: A Case Report and Review of the Literature
title_sort spinal burkitt's lymphoma mimicking dumbbell shape neurogenic tumor: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4623190/
https://www.ncbi.nlm.nih.gov/pubmed/26512290
http://dx.doi.org/10.14245/kjs.2015.12.3.221
work_keys_str_mv AT kimyousub spinalburkittslymphomamimickingdumbbellshapeneurogenictumoracasereportandreviewoftheliterature
AT leejungkil spinalburkittslymphomamimickingdumbbellshapeneurogenictumoracasereportandreviewoftheliterature
AT choikiyoung spinalburkittslymphomamimickingdumbbellshapeneurogenictumoracasereportandreviewoftheliterature
AT jangjaewon spinalburkittslymphomamimickingdumbbellshapeneurogenictumoracasereportandreviewoftheliterature