Spinal Bone Lymphoma with Intraspinal Extension: Case Report

Authors

  • John Vargas-Urbina Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú.
  • Raúl Martinez-Silva Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú.
  • Eduardo Laos-Plasier Servicio de Neurotrauma y Columna, Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú
  • Alfonso Basurco-Carpio Servicio de Neurotrauma y Columna, Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú

DOI:

https://doi.org/10.35434/rcmhnaaa.2024.171.2171

Keywords:

Lymphoma, non-Hodgkin lymphoma, lymphoma AIDS-related, spinal diseases, surgical decompression

Abstract

Introduction: Spinal bone lymphoma is a rare disease, with diffuse large B-cell lymphoma being the most common subtype. It is usually a late manifestation of a systemic disease. Its management is multidisciplinary, including surgery, chemotherapy and radiotherapy. Clinical case: A 40-year-old woman, with human immunodeficiency virus infection, miliary tuberculosis monoresistant isoniazid, with disease period of 7 month with progressive motor and sensory deficit in addition to sphincter dysfunction. The contrasted MRI shows a left vertebral and paravertebral tumor that invades spinal canal through left T2/T3 foramina with spinal cord compression. Laminectomy T2 and T3 plus total resection of tumor plus spinal fixation is performed. The patient progressively recovered the motor deficit and began chemotherapy with a good response. Conclusion: The spinal bone lymphoma is an infrequent etiology of bone tumor of the spine, which requires multidisciplinary management.

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Author Biographies

John Vargas-Urbina, Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú.

1. Médico Neurocirujano

Raúl Martinez-Silva, Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú.

1. Médico Residente

Eduardo Laos-Plasier, Servicio de Neurotrauma y Columna, Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú

1. Médico Neurocirujano

Alfonso Basurco-Carpio, Servicio de Neurotrauma y Columna, Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú

1. Médico Neurocirujano

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Published

2024-04-14

How to Cite

1.
Vargas-Urbina J, Martinez-Silva R, Laos-Plasier E, Basurco-Carpio A. Spinal Bone Lymphoma with Intraspinal Extension: Case Report . Rev. Cuerpo Med. HNAAA [Internet]. 2024 Apr. 14 [cited 2024 May 16];17(1). Available from: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/2171

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