Primary lymphoma of the spine: clinical case

• Autor(a) principal: Vaio, Teresa
• Data de Publicação: 2004
• Outros Autores: Rial, Maria, Oliveira, Júlia, Santos, Arsénio, Filipe , Carlos, Almeida, Sérgio, Teixeira, Adriana, Casanova, José, Santos, Rui, Reis, Conceição, Porto, Armando
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/1725
• topic: lombalgia; linfoma primário da coluna vertebral; low back pain; primary lymphoma of the spine

Lymphomas of the bone are uncommon and only occasionally encountered in the spine, where they are usually secondary deposits.The authors report the case of a fifty-eightyear old woman with low back pain of six weeks duration, which did not improve with analgesics. Laboratory tests showed a normocytic anaemia and a raised erythrocyte sedimentation rate. Spinal X-Rays showed collapse of the L2 vertebra and increased uptake at this level in the bone scan. The CT and the MRI demonstrated lytic bone lesions in D12, L1 e L2 vertebrae and the histological examination of the biopsy specimen revealed a Non-Hodgkin Lymphoma. The patient was managed with surgery to stabilise the vertebra, chemotherapy with the CHOP regime and local irradiation.After therapy, the patient maintained back pain, cervical lymph nodes appeared and the patient died a year after the diagnosis.