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Spinal epidural lymphomas: CT features in seven patients
AJNR. American Journal of Neuroradiology
|March 1, 1986
Summary
Computed tomographic (CT) scans reveal key signs of epidural lymphoma, including irregular masses and bone changes. Considering lymphoma is crucial for epidural masses with associated bone alterations.
Area of Science:
- Radiology
- Oncology
- Neurology
Background:
- Epidural masses can present with diverse imaging findings.
- Differentiating neoplastic from non-neoplastic causes is clinically important.
Purpose of the Study:
- To identify characteristic computed tomographic (CT) findings of epidural lymphomas.
- To aid in the differential diagnosis of intraspinal epidural masses.
Main Methods:
- Retrospective review of CT images and records.
- Analysis of imaging characteristics in seven patients diagnosed with epidural lymphoma.
Main Results:
- No single pathognomonic CT pattern was identified.
- Common CT findings included extensive intraspinal epidural masses, associated osteolysis or sclerosis, and combined intra- and extraspinal extension.
- The presence of bone changes alongside an epidural mass suggests lymphoma.
Conclusions:
- CT imaging can suggest epidural lymphoma based on specific mass characteristics and bone involvement.
- Lymphoma should be strongly considered in the differential diagnosis of epidural masses exhibiting bone changes.