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"Primary" spinal epidural lymphomas. A clinico-pathological study

T V Rao, K S Narayanaswamy, S K Shankar

    Acta Neurochirurgica
    |January 1, 1982
    PubMed
    Summary
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    Primary spinal lymphomas are rare tumors. Laminectomy with radiotherapy is the preferred treatment, with mixed histiocytic-lymphocytic types showing a better prognosis.

    Area of Science:

    • Neurosurgery
    • Oncology
    • Pathology

    Background:

    • Spinal epidural malignant tumors are rare.
    • Primary spinal lymphomas lack systemic involvement at diagnosis.

    Purpose of the Study:

    • To analyze the clinical behavior, treatment, histological classification, and prognosis of primary spinal lymphomas.
    • To identify factors influencing outcomes in patients with these tumors.

    Main Methods:

    • Retrospective analysis of surgical records from 1972-1980.
    • Inclusion of 75 cases of spinal epidural malignant tumors, with a focus on 21 primary spinal lymphomas.
    • Evaluation of clinical presentation, treatment modalities, histological subtypes, and patient survival.

    Main Results:

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    • Lower limb weakness and localized pain were common presenting symptoms.
    • Laminectomy with decompression followed by radiotherapy was the standard treatment.
    • The mixed histiocytic-lymphocytic subtype was the most frequent histological classification.
    • Six patients with histiocytic-lymphocytic lymphoma survived, indicating a potentially better prognosis.

    Conclusions:

    • Primary spinal lymphomas require specific diagnostic and treatment approaches.
    • The mixed histiocytic-lymphocytic subtype may be associated with improved survival outcomes.
    • Multidisciplinary management including surgery and radiotherapy is crucial for managing spinal lymphomas.