Liliang Ren , Shouming Zhang , Aijie Wang , Ranran Huang , Zhongwei Li , Guowei Zhang
{"title":"Cauda equina non-Hodgkin lymphoma and literature review: Report of 2 cases","authors":"Liliang Ren , Shouming Zhang , Aijie Wang , Ranran Huang , Zhongwei Li , Guowei Zhang","doi":"10.1016/j.radcr.2024.10.144","DOIUrl":null,"url":null,"abstract":"<div><div>Primary non-Hodgkin's lymphoma (NHL) occurring in the cauda equina region within the spinal canal is exceedingly rare. It is characterized by severe clinical symptoms, a high rate of misdiagnosis, rapid progression, poor prognosis, and significant metastasis potential. In this paper, we report 1 case of a 58-year-old female with primary NHL and another case of a 69-year-old male with secondary NHL. Both cases exhibited similar MRI findings, presenting the ``cauda equina engulfment'' sign. Early diagnosis and treatment, based on the recognition of these rare imaging features in combination with clinical history and cauda equina histopathological examination, are crucial for improving patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 993-998"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1930043324012494","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Primary non-Hodgkin's lymphoma (NHL) occurring in the cauda equina region within the spinal canal is exceedingly rare. It is characterized by severe clinical symptoms, a high rate of misdiagnosis, rapid progression, poor prognosis, and significant metastasis potential. In this paper, we report 1 case of a 58-year-old female with primary NHL and another case of a 69-year-old male with secondary NHL. Both cases exhibited similar MRI findings, presenting the ``cauda equina engulfment'' sign. Early diagnosis and treatment, based on the recognition of these rare imaging features in combination with clinical history and cauda equina histopathological examination, are crucial for improving patient outcomes.
期刊介绍:
The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.