CA: A Cancer Journal for Clinicians, Vol 30, 123-125, Copyright
© 1980 by American Cancer Society
Non-Hodgkin's Lymphoma of the Spinal Cord
Anupam Routh M.D.1
1 Assistant Professor, Department of Radiology, University of Mississippi Medical Center, Jackson, Mississippi.
A 57-year-old white female, operated on for a prolapsed disc six years ago, presented with low back pain. Initially, she was thought to be suffering from the same disc problem, and was treated accordingly. However, her condition worsened. A myelogram disclosed a complete block of the subarachnoid space from levels T11 to L2. Laminectomy and decompression were performed, revealing tumor in the extradural space. Histological examination disclosed a primary, poorly differentiated lymphocytic lymphoma of the spinal cord.
Both primary and metastatic nin-Hodgkin's lymphoma of the spinal cord are extremely rare. Mullins et al described only five instances of cord compression in a study of 529 cases of nin-Hodgkin's lymphoma. The diagnosis is generally not suspected until laminectomy.