Non Hodgkin's lymphoma with metastasis to spine

Case contributed by Dr Donald Luke Mathew

Presentation

Known case of Non-Hodgkin’s lymphoma ,post chemotherapy,now presenting with severe backache

Patient Data

Age: 53
Gender: Male

Multiple T1 hypointense, T2 and STIR hyperintense, heterogeneously enhancing marrow lesions throughout spine predominantly in dorsal and lumbar spine, involving anterior and posterior elements, sacrum,  and imaged pelvic bones in keeping with extensive skeletal metastasis.

A note of large volume retroperitoneal and mediastinal lymphadenopathy is also made.

Case Discussion

 Patient is a  known case of Non-Hodgkin’s lymphoma (follicular lymphoma- Treated in 2014), tansformation into DLBCL.

He now presents with gradually worsening backache.

MRI findings were discussed with the oncologist and were thought to be lymhoma related although NHL spreading to spine is rare.A CSF cytology was suggested to assess meningeal metastasis

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Case information

rID: 54844
Case created: 1st Aug 2017
Last edited: 4th Aug 2017
Inclusion in quiz mode: Included

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