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Case Reports in Surgery
Volume 2015, Article ID 639253, 3 pages
http://dx.doi.org/10.1155/2015/639253
Case Report

Primary Dural Spinal Lymphoma Presentation of a Rare Spinal Tumor Case

1Department of Neurosurgery, Dr. Lütfi Kırdar Kartal Education and Research Hospital, 34852 Istanbul, Turkey
2Department of Pathology, Dr. Lütfi Kırdar Kartal Education and Research Hospital, 34852 Istanbul, Turkey

Received 28 February 2015; Revised 1 June 2015; Accepted 8 June 2015

Academic Editor: Yoshiharu Kawaguchi

Copyright © 2015 Dilber Ayçiçek Çeçen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Primary spinal dural lymphomas (PSDL) are tumors with characteristic histopathology of a lymphoma, which are completely in the spinal epidural space without any other systemic involvement. Extranodal primary lymphoma involving nervous system prefers thalamus/basal ganglia, periventricular region, cerebellum, eyes, meninges/dura, and cranial nerves or spinal cord. Rare spinal localization with acute spinal cord compression is worth attention. Case Presentation. A 48-year-old male presented with a several-month-long history of upper back pain. Lately, he had numbness and weakness at both lower extremities and was unable to walk for one week. A spinal MRI showed a thoracic lesion with cord compression at T2–T4 levels. The patient underwent surgical decompression, with his final histopathology showing diffuse large B-cell lymphoma. Systemic work-up was negative for nodal disease. Following surgery, he received radiotherapy combined with chemotherapy. He experienced a good outcome after four years. Conclusion. The upper thoracic cord is a rare location for primary spinal lesions/metastases, both of which prefer the lower thoracic and upper lumbar regions. In cases of progressive paraparesis, there should be immediate surgical intervention in the case of denovo disease, followed by combined radiotherapy and chemotherapy procedures.