Tsukada T, Ohno T, Tsuji K, Kita K, Kobayashi T, Deguchi K, Shirakawa S
Second Department of Internal Medicine, Mie University School of Medicine, Tsu, Japan.
Intern Med. 1992 Apr;31(4):513-5. doi: 10.2169/internalmedicine.31.513.
A 70-year-old man was admitted to our hospital because of paraplegia. A spinal epidural tumor (Th VII-XI) was diagnosed by magnetic resonance imaging and resected. Histological examination of the tumor showed non-Hodgkin's lymphoma of the diffuse large cell type (Lymphoma Study Group classification), with a B cell phenotype. The clinical stage was IEA by the Ann Arbor classification. Radiation therapy of the involved field was performed (total dose: 40 Gy), followed by six courses of modified cyclophosphamide, adriamycine, vincristine, prednisolone (CHOP) therapy. He was discharged walking unaided 10 months later and has shown no evidence of relapse in the 26 months since discharge.
一名70岁男性因截瘫入住我院。经磁共振成像诊断为胸7至胸11水平的脊髓硬膜外肿瘤并接受了切除手术。肿瘤组织学检查显示为弥漫大细胞型非霍奇金淋巴瘤（淋巴瘤研究组分类），呈B细胞表型。根据Ann Arbor分期系统，临床分期为IEA期。对受累野进行了放射治疗（总剂量：40 Gy），随后进行了六个疗程的改良环磷酰胺、阿霉素、长春新碱、泼尼松（CHOP）方案化疗。10个月后他无需辅助行走出院，出院后26个月内无复发迹象。
