Acute lymphocytic leukemia recurring in the spinal epidural space.
Neurol Med Chir (Tokyo)
; 47(8): 375-8, 2007 Aug.
Article
em En
| MEDLINE
| ID: mdl-17721056
ABSTRACT
A 27-year-old man presented with a very rare spinal epidural mass associated with recurrence of acute lymphocytic leukemia (ALL) manifesting as acute progressive neurological deficits. The patient presented with shoulder pain and ambulatory difficulties 3 years after remission of ALL treated by bone marrow transplantation. Magnetic resonance imaging revealed an epidural mass extending from C-7 to T-3, which compressed the cord and extended to the intervertebral foramen along the roots. After decompression surgery, the symptoms dramatically improved. Histological examination showed clusters of immature lymphocytes consistent with recurrence of leukemia, so chemotherapy and radiation therapy were carried out. At 1 year after the operation, no local mass expansion or systemic progression of leukemia had occurred. Leukemic mass must be considered in the differential diagnosis of spinal epidural mass, even in patients with ALL.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Compressão da Medula Espinal
/
Neoplasias da Coluna Vertebral
/
Neoplasias Epidurais
/
Espaço Epidural
/
Leucemia-Linfoma Linfoblástico de Células Precursoras
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Neurol Med Chir (Tokyo)
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Japão