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[Spinal epidural lymphoma. A study using computed tomography].

B Ibarra1, F J Romero, C Torrents

  • 1Servicio de Neurorradiología, Hospital General Vall d'Hebron, Barcelona.

Neurologia (Barcelona, Spain)
|February 1, 1990
PubMed
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Computerized tomographies (CT) revealed homogeneous spinal epidural lymphoma (SEL) masses. These masses, extending across vertebral segments and potentially involving paraspinal tissues, aid in diagnosing SEL.

Area of Science:

  • Radiology
  • Oncology
  • Neurology

Background:

  • Spinal epidural lymphoma (SEL) is a rare condition.
  • Accurate diagnosis relies on characteristic imaging findings.

Purpose of the Study:

  • To identify tomographic features of spinal epidural lymphoma (SEL).
  • To differentiate SEL from other spinal epidural diseases using CT.

Main Methods:

  • Review of four spinal epidural lymphoma (SEL) cases.
  • Analysis of computerized tomographies (CT), including myelography and contrast-enhanced studies.
  • Literature review on osseous lesions in SEL.

Main Results:

  • A common finding was a homogeneous intraspinal mass extending over at least one vertebral segment.

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  • The mass often spread into paraspinal tissues, effacing fat lines.
  • Osseous lesions were infrequent; intrathecal contrast aided in defining intraspinal extent but not tumor nature.

    • Conclusions:

    • Homogeneous intra- and/or extra-spinal masses spanning at least one vertebral segment are suggestive of spinal epidural lymphoma (SEL).
    • While no exclusive features were found, these findings aid in differential diagnosis.
    • CT is valuable for assessing the extent of SEL.