Milton Jason, Renner Julie, Awuor Victor
Grant Medical Center, Ohio Health, Columbus, USA.
Department of Neurosurgery, Genesis Healthcare System, Zanesville, Ohio, USA.
Surg Neurol Int. 2017 Jul 11;8:142. doi: 10.4103/sni.sni_60_17. eCollection 2017.
Diffuse Large B-cell Lymphoma (DLBCL) is the most common form of Non-Hodgkin lymphoma (NHL), accounting for 25-30 percent of cases in the United States.1 Extranodal sites are involved in approximately 40% of cases of DLBCL.
In this report, we discuss the case of a patient with extranodal DLBCL within the cervical nerve roots that underwent surgical intervention due to the presence of cervical radiculopathy.
The diagnosis of DLBCL was surprising given the appearance of the masses on MRI being similar to that of a neurofibroma or schwannoma. Surgical decompression provided a tissue sample for biopsy as well as an opportunity for decompression of the nerve roots and restoration of function of the patient's left upper extremity.
弥漫性大B细胞淋巴瘤(DLBCL)是非霍奇金淋巴瘤(NHL)最常见的形式,在美国占病例的25%-30%。1约40%的DLBCL病例累及结外部位。
在本报告中,我们讨论了一名颈神经根结外DLBCL患者的病例,该患者因存在颈神经根病而接受了手术干预。
鉴于MRI上肿块的表现与神经纤维瘤或神经鞘瘤相似,DLBCL的诊断令人惊讶。手术减压提供了用于活检的组织样本,也为神经根减压和患者左上肢功能恢复提供了机会。