Spinal Bone Lymphoma with Intraspinal Extension: Case Report

• Autores: Vargas-Urbina, John, Martinez-Silva, Raúl, Laos-Plasier, Eduardo, Basurco-Carpio, Alfonso
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Repositorio: Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Lenguaje: español
• OAI Identifier: oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/2171
• Enlace del recurso: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/2171
• Nivel de acceso: acceso abierto
• Materia: Linfoma; linfoma no Hodgkin; linfoma relacionado con SIDA; enfermedades de la columna vertebral; descompresión quirúrgica; Lymphoma; non-Hodgkin lymphoma; lymphoma AIDS-related; spinal diseases; surgical decompression

Introduction: Spinal bone lymphoma is a rare disease, with diffuse large B-cell lymphoma being the most common subtype. It is usually a late manifestation of a systemic disease. Its management is multidisciplinary, including surgery, chemotherapy and radiotherapy. Clinical case: A 40-year-old woman, with human immunodeficiency virus infection, miliary tuberculosis monoresistant isoniazid, with disease period of 7 month with progressive motor and sensory deficit in addition to sphincter dysfunction. The contrasted MRI shows a left vertebral and paravertebral tumor that invades spinal canal through left T2/T3 foramina with spinal cord compression. Laminectomy T2 and T3 plus total resection of tumor plus spinal fixation is performed. The patient progressively recovered the motor deficit and began chemotherapy with a good response. Conclusion: The spinal bone lymphoma is an infrequent etiology of bone tumor of the spine, which requires multidisciplinary management.