MRI of Primary Spinal Epidural Lymphoma: Case Report

原發性脊椎硬膜上淋巴癌之磁振造影影像：病例報告

劉大忠(Da-Chung Liou) ； 周榮茂(Jung-Mao Chou)

《中華放射線醫學雜誌》 32卷3期 (2007/09) Pp. 147-151

摘要

我們報告一個有關原發性胸椎硬膜上non-Hodgkin氏淋巴癌，它因為早期發現，只侵犯右側神經孔，沒有造成脊髓的壓迫或脊椎外的侵犯。磁振造影在T1-weighted影像上顯示和脊髓相同訊號的病灶，在T2-weighted影像上顯示高訊號的病灶，並且在注射對比劑後顯示均勻顯影的影像。
原發性脊椎硬膜上的淋巴癌，如果早期發現只有輕微的症狀或局部的病灶，它的預後比那些典型的脊髓壓迫症狀或廣泛性的侵犯好很多。

並列摘要

We present a case with primary thoracic spinal epidural non-Hodgkin's lymphoma which involved neuroforamen in the absence of spinal cord compression or paraspinal muscle extension. Magnetic resonance imaging (MRI) showed a lesion with homogeneous enhancement following the administration of gadolinium.
The prognosis of primary spinal epidural lymphoma with minimal symptoms during the early stage is relatively good as compared to those with classical signs of cord compression with more obvious abnormalities on images.