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Spinal malignant lymphoma:Report of 18 cases

WU Qiqiu;CHENG Hong;LIN Yu, et al Beijing Tuberculosis & Chest Tumor Hospital, Department of Orthopedics, Beijing 101149, China P. R.  
Objective To improve the diagnosis and treatment results of spinal malignant lymphoma. Methods 18 cases of spinal malignant lymphoma were treated during 1974-2000. Male were 12 cases, female 6 cases, aged 9 - 75, averaging 31.3. Lesions localized in cervico-thoracic 1 case, thoracic 10, thoraco-lumbar 1 and lumbar 6, to analyze the clinical findings. X-Ray CT and MRI characteristics of spinal malignant lymphoma and treatment results retrospectively. Results (1)The clinical findings such as back pain, lassitude, loss of weight and irregular rise of tem- perature in 8 cases and 13 cases(72. 2 %) complicated with neuralgic deficit appeared similar to spinal tuberculosis. (2) X-Ray plain film was useless in diagnosis of early case. Spinal malignant lymphoma may be divided into three types of grown pattern: paraspinal, vertebral and epidural in MRI. (3) Those cases with neuralgic deficit must be operated on, then radio-therapy or/and chemo-therapy. Conclusion The occurrence of spinal malignant lymphoma must alert and biopsy or operation must be done in all suspected cases without delay, early diagnosis would have a favorable results
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