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Research ArticleTumors

A Rare Entity in the Lumbar Epidural Region: T-Cell Lymphoblastic Lymphoma

Münibe Büşra Erdem, Aydemir Kale, Mesut Emre Yaman and Hakan Emmez
International Journal of Spine Surgery February 2021, 14 (s4) S52-S56; DOI: https://doi.org/10.14444/7165
Münibe Büşra Erdem
Department of Neurosurgery, Gazi University Faculty of Medicine, Ankara, Turkey
MD
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Aydemir Kale
Department of Neurosurgery, Gazi University Faculty of Medicine, Ankara, Turkey
MD
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Mesut Emre Yaman
Department of Neurosurgery, Gazi University Faculty of Medicine, Ankara, Turkey
MD
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Hakan Emmez
Department of Neurosurgery, Gazi University Faculty of Medicine, Ankara, Turkey
MD
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    Figure 1

    Preoperative (A) T2-weighted and (B) turbo inversion recovery lumbar spinal magnetic resonance imaging (MRI) showing the epidural lesion at L2–L4 levels in the sagittal plane. (C) T2-weighted MRI in axial plane showing spinal cord compression at the L3 level.

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    Figure 2

    Intraoperative images showing the excision of posterior part of the tumor. (A) Yellow-colored tumor mass (black star) appearing after excision of ligamenta flava at the L3 level. (B) The tumor (black star) appearing to be adherent to the dura (blue arrow). (C) The posterior part of the tumor (black star) surrounding the dura. (D) The excision of the posterior part of the tumor (black star).

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    Figure 3

    Histopathological examination showing (A) the primary tumor (T-cell acute lymphoblastic leukemia) with lymphoblastic cell infiltration in the bone-marrow biopsy (hematoxylin-eosin), (B) the primary tumor's positivity for cytoplasmic CD3 expression and (C) TdT. (D) The recurrent tumor with lymphoblastic cell infiltration in the lumbar epidural region (hematoxylin-eosin).

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International Journal of Spine Surgery
Vol. 14, Issue s4
1 Feb 2021
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A Rare Entity in the Lumbar Epidural Region: T-Cell Lymphoblastic Lymphoma
Münibe Büşra Erdem, Aydemir Kale, Mesut Emre Yaman, Hakan Emmez
International Journal of Spine Surgery Feb 2021, 14 (s4) S52-S56; DOI: 10.14444/7165

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A Rare Entity in the Lumbar Epidural Region: T-Cell Lymphoblastic Lymphoma
Münibe Büşra Erdem, Aydemir Kale, Mesut Emre Yaman, Hakan Emmez
International Journal of Spine Surgery Feb 2021, 14 (s4) S52-S56; DOI: 10.14444/7165
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Keywords

  • epidural space
  • spinal cord compression
  • precursor T-cell lymphoblastic leukemia-lymphoma
  • recurrence
  • tumor

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