{"title":"Primary diffuse large B-cell lymphoma of cauda equina: a rare and challenging diagnosis.","authors":"Tamara Pikivaca, Mark A Rudolf, Anamarija M Perry","doi":"10.1007/s12308-026-00689-3","DOIUrl":null,"url":null,"abstract":"<p><p>Primary diffuse large B-cell lymphoma (DLBCL) of cauda equina is a very rare manifestation of neurolymphomatosis. A 52-year-old female presented with progressive symptoms of left lower extremity burning sensation. After initial conservative management with no improvement, MRI of the lumbosacral spine showed pathologic enhancement and thickening of cauda equina nerve roots. Examination of cerebrospinal fluid, coupled with flow cytometry, was diagnostic of DLBCL. Clinicians and pathologists should be aware of this unusual and challenging clinical presentation of DLBCL.</p>","PeriodicalId":51320,"journal":{"name":"Journal of Hematopathology","volume":"19 1","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hematopathology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s12308-026-00689-3","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEMATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Primary diffuse large B-cell lymphoma (DLBCL) of cauda equina is a very rare manifestation of neurolymphomatosis. A 52-year-old female presented with progressive symptoms of left lower extremity burning sensation. After initial conservative management with no improvement, MRI of the lumbosacral spine showed pathologic enhancement and thickening of cauda equina nerve roots. Examination of cerebrospinal fluid, coupled with flow cytometry, was diagnostic of DLBCL. Clinicians and pathologists should be aware of this unusual and challenging clinical presentation of DLBCL.
期刊介绍:
The Journal of Hematopathology aims at providing pathologists with a special interest in hematopathology with all the information needed to perform modern pathology in evaluating lymphoid tissues and bone marrow. To this end the journal publishes reviews, editorials, comments, original papers, guidelines and protocols, papers on ancillary techniques, and occasional case reports in the fields of the pathology, molecular biology, and clinical features of diseases of the hematopoietic system.
The journal is the unique reference point for all pathologists with an interest in hematopathology. Molecular biologists involved in the expanding field of molecular diagnostics and research on lymphomas and leukemia benefit from the journal, too. Furthermore, the journal is of major interest for hematologists dealing with patients suffering from lymphomas, leukemias, and other diseases.
The journal is unique in its true international character. Especially in the field of hematopathology it is clear that there are huge geographical variations in incidence of diseases. This is not only locally relevant, but due to globalization, relevant for all those involved in the management of patients.