Primary Dumbbell-Shaped Lymphoma of the Thoracic Spine : A Case Report

الملخص EN

Primary spinal non-Hodgkin’s lymphoma is extremely rare, and the occurrence of spinal dumbbell-shaped lymphoma is exceptional.

We present a case of primary spinal dumbbell-shaped lymphoma to clarify the diagnosis and the management of these lesions.

A 45-year-old man presented with sensory symptoms for 8 months.

Magnetic resonance imaging of the thoracic spine demonstrated a dumbbell-shaped lesion at the D4–D6 level with spinal cord compression and right foraminal extension at D4–D5 level.

The patient underwent D4–D6 laminectomy, with a subtotal resection of the mass.

Diffuse large B-cell lymphoma was diagnosed in the pathological examination.

He underwent local spinal radiotherapy and chemotherapy.

Follow-up evaluation at one year demonstrated no evidence of relapse.

Although highly unusual, lymphoma should be included in the differential diagnosis for spinal dumbbell-shaped tumours.

After surgery and adjuvant therapy a long-term clinical and neuroradiological followup is mandatory.