Major cauda equina lymphoma identified by nerve biopsy: A case report and literature evaluate.
Oncol Lett. 2018 Jul;16(1):623-631
Authors: Suzuki Okay, Yasuda T, Hiraiwa T, Kanamori M, Kimura T, Kawaguchi Y
Major cauda equina lymphoma (CEL) is a uncommon malignant tumor amongst varied neoplasms that impacts the cauda equina nerve roots. The current case report described the case of a 65-year-old man who introduced with cauda equina syndrome with progressive motor palsy within the legs and gait disturbance over the past 5 months. Magnetic resonance (MR) photographs confirmed enlargement of the cauda equina occupying the dural sac from the L1-S1 stage with isointensity to the spinal wire sign on each T1- and T2-weighted imaging. Enhancement of the cauda equina was seen on distinction MR photographs. On F-18 2-fluoro-2-deoxy-glucose positron emission tomography examination, diffuse accumulation of 2-fluoro-2-deoxy-glucose was noticed within the cauda equina with a most standardized uptake worth of four.9. Primarily based on elevation of soluble interleukin 2 receptor in cerebrospinal fluid and a biopsy of the enlarging cauda equina, a prognosis of CEL of the diffuse giant B-cell kind was made. The current case report offered an in depth case dialogue and a evaluate of the out there literature on this uncommon entity, specializing in scientific traits and imaging of main CEL.
PMID: 29928449 [PubMed]