Limfoma Non-Hodgkin Primer Vertebra Torakalis dengan Kompresi Progresif Medula Spinalis

Abstract

Primary vertebral of non-hodgkin lymphoma presented without systemic involvement is extremely rare. Bone is only 1% found as the primary origin of lymphoma. Primary vertebral location is only 1.7% of all primary bone lymphomas. The tumor grows insidiously and may reach considerable size and clinical consequence prior to diagnosis. When the tumor compresses or infltrates the spinal cord, the symptoms may be rapidly progressive, and proper surgical treatment may be needed to preserve function and to maintain the quality of life.We reported a 70-year-old man presented with progressive lower extremities weakness and numbness, back pain, and incontinentia alvi for the last six months. Magnetic resonance imaging demonstrated T1 and T2 hypointense mass that destructed 10th thoracic vertebral body, right laminae, and right pedicle. The mass compressed spinal canal and spinal cord. Histopathological analysis from open biopsy revealed a non-hodgkin lymphoma of the 10th thoracic vertebra.Isolated primary bony lymphoma of the spine is a very rare occasion. In our case, the initial complaints may be the result of progressive spinal cord compression. Thus, radiologists have to be familiar with imaging fndings of various spinal tumors that can cause spinal cord compression.