Non-Hodgkin lymphomas presenting with spinal epidural involvement
Spinal cord compression was the presenting symptom in 9 out of 299 previously undiagnosed non-Hodgkin lymphomas observed between 1972 and 1987. All patients had unfavourable histologic diagnosis and 4 had stage I E, 2 stage II E and 2 were staged as IV; one patient did not undergo a staging procedur...
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Published in | Acta oncologica Vol. 28; no. 4; p. 485 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
England
1989
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Subjects | |
Online Access | Get more information |
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Summary: | Spinal cord compression was the presenting symptom in 9 out of 299 previously undiagnosed non-Hodgkin lymphomas observed between 1972 and 1987. All patients had unfavourable histologic diagnosis and 4 had stage I E, 2 stage II E and 2 were staged as IV; one patient did not undergo a staging procedure. All patients were treated with surgery and radiotherapy, whereas chemotherapy was employed in 3 cases only. Only 2 patients are still alive and disease-free after 3 and 8 years respectively; the remaining 7 died with progression of disease, even if in 2 cases a complete clinical remission was obtained. The recent literature has been reviewed. Non-Hodgkin lymphoma with spinal epidural presentation is usually an aggressive disease. An intensive treatment combining surgery, radiotherapy and chemotherapy is finally suggested to achieve better local and long-term results. Surgery can as a rule be limited to laminectomy plus biopsy. |
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ISSN: | 0284-186X |
DOI: | 10.3109/02841868909092255 |