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Related Experiment Video

Updated: Feb 22, 2026

Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma
10:52

Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma

Published on: March 30, 2018

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Lymphoblastic Lymphoma Involving Multiple Vertebrae.

Da Li1, Yu-Lun Xu1, Zhen Wu1

  • 1Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.

World Neurosurgery
|October 1, 2017
PubMed
Summary

This case study highlights a rare adult presentation of B-cell acute lymphoblastic lymphoma initially involving the epidural compartment. Early diagnosis and treatment led to partial recovery in a young male patient.

Keywords:
Intraspinal epidural tumorLeukemiaLymphoblastic lymphomaSpine

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Last Updated: Feb 22, 2026

Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma
10:52

Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma

Published on: March 30, 2018

11.7K

Area of Science:

  • Hematology
  • Oncology
  • Neurology

Background:

  • Acute lymphoblastic lymphoma (ALL) is a common childhood malignancy but rarely presents initially in the epidural space in adults.
  • Adult-onset epidural ALL is an uncommon entity, posing diagnostic challenges due to its rarity and potential for mimicking other spinal pathologies.

Observation:

  • A 20-year-old male presented with progressive low back pain and constipation, symptoms suggestive of spinal cord compression.
  • Magnetic resonance imaging revealed multiple vertebral lesions and an intraspinal epidural mass, prompting further investigation.
  • Histopathology confirmed a high-grade malignant B-cell lymphoma with a high proliferation index (Ki-67 90%) and CD45 (leukocyte common antigen) positivity.

Findings:

  • A bone marrow biopsy definitively diagnosed B-cell acute lymphoblastic lymphoma.
  • The patient underwent subtotal resection of the epidural lesion followed by chemotherapy, including methotrexate.
  • Partial recovery of symptoms was observed post-treatment, indicating a positive response to therapy.

Implications:

  • This case underscores the importance of considering rare diagnoses like epidural ALL in young adults presenting with spinal symptoms.
  • Bone marrow biopsy is crucial for definitive diagnosis, especially in the absence of hypercalcemia or peripheral blood abnormalities.
  • Multimodality treatment involving surgery and chemotherapy can lead to favorable outcomes even in rare presentations of ALL.