Primary Non-Hodgkin’s Lymphoma of the Spine
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Introduction
Primary spinal lymphoma is a rare form of extranodal lymphoma. It is thought to arise from the paraspinal lymphoid tissue and subsequently invade the spinal cord. The diagnosis of this entity is challenging due to its atypical clinical presentation and the difficulty in establishing a conclusive tissue diagnosis with core biopsy. The treatment of choice has yet to be defined, and the role of surgery remains controversial. Therefore, the prognosis of this entity remains unfavorable. We present the case of an adult female who presented with back pain and was found to have a spinal lymphoma. We also review the literature regarding this rare occurrence.

Case Report
A 69-year-old Caucasian female with a past medical history of hypertension, rheumatoid arthritis, Sjogren syndrome, and esophagitis presented to our emergency department for evaluation of numbness in her arms and legs. Over the last 6 weeks, she has been experiencing intermittent chest tightness and mid-back pain. Twenty-four hours prior to presentation, she developed constant moderate to severe bilateral paresthesia in her upper and lower extremities. She denied fever, night sweats, shortness of breath, palpitations, recent weight loss or weakness in her extremities.....

http://wjon.org/index.php/wjon/article/view/947/693
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