A case of posterior mediastinal non-Hodgkin lymphoma presenting with epidural spinal cord compression.
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A case of posterior mediastinal T-cell lymphoma presenting with epidural spinal cord compression is reported. A five-year-old girl was admitted to our hospital because of backache, muscle weakness and paresthesia of lower extremities, and urinary and fecal incontinence. Chest X-ray showed a paravertebral tumor and a myelogram revealed a complete block at the level of Th9. MRI also demonstrated a paravertebral tumor invading the spinal tube through the intervertebral foramen. Because of rapid progression of spinal cord compression symptoms, an emergency laminectomy was per-formed. A biopsy of the tumor was done concomitantly. A paravertebral tumor invading the epidural space through the intervertebral foramen was observed at operation. Light microscopic examination of the biopsy specimen showed a small round cell tumor, and immunocytochemical examination demonstrated a T-cell lymphoma with positive MTI. The paravertebral tumor completely dis-appeared soon after treatment with combination chemotherapy and the symptoms of spinal cord compression improved. She has been disease-free for more than six months.
- 特定非営利活動法人 日本小児血液・がん学会の論文
特定非営利活動法人 日本小児血液・がん学会 | 論文
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