Primary Malignant Lymphoma Presenting as an Isolated Epidural Mass

Area of Science:

• Neurology
• Oncology
• Neurosurgery

Background:

• Primary central nervous system lymphoma (PCNSL) is a rare extranodal non-Hodgkin's lymphoma.
• Malignant lymphoma presenting as a primary spinal cord tumor is exceptionally uncommon.
• Primary malignant lymphoma manifesting as an isolated epidural mass is exceedingly rare.

Purpose of the Study:

• To report a rare case of primary malignant lymphoma of the thoracic spine.
• To describe an isolated epidural mass presentation without vertebral involvement.
• To present a successful treatment strategy for this rare condition.

Main Methods:

• Case report of a patient with primary thoracic spine epidural lymphoma.
• Surgical decompression for neurological preservation.
• Review of treatment strategies for rare spinal epidural lymphomas.

Main Results:

• Successful surgical decompression of an isolated epidural thoracic spine lymphoma.
• Prevention of further neurological deterioration through timely intervention.
• Demonstration of an effective treatment approach for a highly unusual presentation.

Conclusions:

• Primary malignant lymphoma of the thoracic spine presenting as an isolated epidural mass is a rare clinical entity.
• Surgical decompression is critical for managing spinal epidural lymphoma and preventing neurological deficits.
• This case underscores the importance of prompt diagnosis and surgical intervention in rare oncological emergencies of the spine.