MR Imaging Characteristics of Primary T-Cell Lymphoma of the Cauda Equina: A Case Report and Literature Review.

Taehan Yongsang Uihakhoe chi Pub Date : 2021-11-01 Epub Date: 2021-10-18 DOI:10.3348/jksr.2020.0195
Younguk Kim, Guen Young Lee, Sujin Kim, Kwang-Sup Song, Hee Sung Kim
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引用次数: 0

Abstract

Primary central nervous system lymphoma is a rare form of extranodal non-Hodgkin lymphoma, and primary T-cell lymphoma of the cauda equina is extremely rare. We describe a case involving a 56-year-old female who presented with low back pain and radiating leg pain for 4 months. MRI of the lumbar spine revealed an elongated, multinodular intradural lesion of approximately 10 cm from the L4 body to the S2 body level with iso-signal intensity on T1-weighted imaging, heterogeneous iso- and high-signal intensity on T2-weighted imaging, and a heterogeneous intense enhancement on gadolinium contrast-enhanced T1-weighted imaging. A peripheral T-cell lymphoma of the cauda equina was diagnosed on the basis of immunohistochemical and T-cell receptor gamma gene rearrangement analysis after intradural biopsy of the mass.

Abstract Image

马尾原发性t细胞淋巴瘤的MR影像学特征:1例报告及文献复习。
原发性中枢神经系统淋巴瘤是结外非霍奇金淋巴瘤的一种罕见形式,马尾的原发性t细胞淋巴瘤极为罕见。我们描述了一个56岁女性的病例,她表现为腰痛和放射性腿痛4个月。腰椎MRI示从L4椎体到S2椎体水平约10cm的长形多结节硬膜内病变,t1加权成像呈等信号,t2加权成像呈异质等信号和高信号,t1加权成像呈非均匀强化。马尾外周t细胞淋巴瘤的诊断是基于免疫组织化学和t细胞受体γ基因重排分析硬膜内活检肿块。
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