Acute Lymphocytic Leukemia Recurring in the Spinal Epidural Space : Case Report
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概要
- 論文の詳細を見る
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.
- 社団法人 日本脳神経外科学会の論文
- 2007-08-15
著者
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HIGASHIDA Tetsuhiro
Department of Neurosurgery, Kanagawa Childrens Medical Center
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Higashida Tetsuhiro
Department Of Neurosurgery Yokohama City University School Of Medicine
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KANNO Hiroshi
Department of Neurosurgery, Yokohama City University Graduate School of Medicine
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Higashida Tetsuhiro
Department Of Neurosurgery Kanagawa Children's Medical Center
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YAMAMOTO Isao
Department of Neurosurgery, Yokohama City University School of Medicine
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Yamamoto Isao
Department Of Electronic Engineering Faculty Of Engineering Okayama University Of Science
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KAWASAKI Takashi
Department of Hygiene and Public Health, Division of Preventive and Social Medicine, Osaka Medical C
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SAKATA Katsumi
Department of Genome Research, National Institute of Agrobiological Sciences
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TANABE Yutaka
Department of Neurosurgery, Yokohama City University School of Medicine
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Tanabe Yutaka
Department Of Neurosurgery Yokohama City University School Of Medicine
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Tanabe Yutaka
Department Of Anesthesiology And Pain Medicine Juntendo University Nerima Hospital
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Kanno Hiroshi
Department Of Neurosurgery Yokohama City University School Of Medicine
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Kawasaki Takashi
Department Of Hygiene And Public Health Division Of Preventive And Social Medicine Osaka Medical Col
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Kanno Hiroshi
Department Of Electronics Kyushu University
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Kawasaki Takashi
Department Of Neurosurgery Yokohama City University School Of Medicine
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KAWASAKI Takashi
Department of Biochemistry, Hiroshima University School of Medicine
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Kawasaki Takashi
Department of Anesthesiology, School of Medicine, University of Occupational and Environmental Health, Japan
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KAWASAKI Takashi
Department of Anesthesiology, School of Medicine, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health
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