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一例原发性脊髓髓内淋巴瘤。

A case of primary spinal intramedullary lymphoma.

作者信息

Bekar A, Cordan T, Evrensel T, Tolunay S

机构信息

Department of Neurosurgery, Uludağ University, Bursa, Turkey.

出版信息

Surg Neurol. 2001 May;55(5):261-4. doi: 10.1016/s0090-3019(01)00405-0.

DOI:10.1016/s0090-3019(01)00405-0
PMID:11516461
Abstract

A 41-year-old male presented to our clinic with a 1-month history of left hemiparesis. He had marked left arm weakness. The diagnostic work-up revealed an intramedullary mass at spinal level C2-4. Laminectomies were performed at C2-3-4 and the tumor was subtotally resected. Histological examination identified the mass as a non-Hodgkin's diffuse B-cell lymphoma. The patient was treated with corticosteroids, chemotherapy, and adjuvant radiotherapy. The residual tumor tissue had completely disappeared by 6 months of follow-up; however, the patient presented with intraventricular metastasis at 11 months postsurgery.

摘要

一名41岁男性因左侧偏瘫1个月前来我院就诊。他左臂明显无力。诊断检查发现C2 - 4脊髓节段有一髓内肿块。在C2 - 3 - 4节段进行了椎板切除术,肿瘤次全切除。组织学检查确定该肿块为非霍奇金弥漫性B细胞淋巴瘤。患者接受了皮质类固醇、化疗和辅助放疗。随访6个月时残留肿瘤组织已完全消失;然而,患者在术后11个月出现脑室内转移。

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