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Updated: Aug 12, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Primary epidural lymphoma. Case report
Francesc Alameda1, Carme Pedro, Carles Besses
1Department of Pathology, Hospital Universitari del Mar, Autonomous University of Barcelona, Barcelona, Spain. 86780@imas.imim.es
Insights
This study presents a rare case of follicular center cell lymphoma in the spinal dura mater. Immunohistochemical and molecular analyses confirmed its follicular center cell origin, marking a first for primary epidural lymphoma.
Area of Science:
- Neuropathology
- Hematopathology
- Oncology
Background:
- Primary spinal epidural lymphoma is a rare condition.
- Follicular center cell lymphoma (FCCL) is a subtype of non-Hodgkin lymphoma.
Observation:
- A unique case of follicular center cell lymphoma originating in the spinal dura mater is detailed.
- The tumor presented within the epidural space of the spine.
Findings:
- Immunohistochemical analysis confirmed the neoplastic cells expressed markers consistent with follicular center cell origin.
- Molecular investigations further supported the diagnosis of a follicular center cell lymphoma.
- This represents the first documented instance of primary epidural lymphoma with confirmed follicular center cell origin.
Implications:
- This case expands the understanding of lymphoma localization and specific subtypes.
- Highlights the importance of advanced diagnostic techniques for rare tumors.
- Contributes to the literature on primary central nervous system lymphomas.
Abstract:
A case of follicular center cell lymphoma arising in the spinal dura mater is presented. To the authors' knowledge, this is the first case of primary epidural lymphoma in which immunohistochemical and molecular investigations demonstrated a follicular center cell origin.

