ArticleJournal of neurosurgery. Case lessons2025
Solitary intradural extramedullary recurrence of testicular diffuse large B-cell lymphoma mimicking a schwannoma: illustrative case.
Article in Journal of neurosurgery. Case lessons, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe purpose of this case report is to highlight the presentation, radiographic challenges, and clinical decision-making prior to operative intervention in an 84-year-old man with a delayed recurrence of diffuse large B-cell lymphoma (DLBCL) in a rare location of the intradural extramedullary space of the cervical spine. OBSERVATIONS: The authors report the case of a cervical intradural extramedullary neoplasm in an 84-year-old male who presented with ataxic gait and right-sided weakness. The patient has a history of testicular DLBCL. Initial MRI revealed a mass at C6-7 mimicking the appearance of either a schwannoma or a meningioma. He underwent resective surgery of the neoplasm, which proved to be a recurrence of DLBCL by histopathology and immunohistochemistry. LESSONS: Diagnosing rare malignancies like lymphoma in the spine requires considering the patient's history, as imaging alone might not allow distinguishing between different tumor types. For patients with a history of lymphoma, malignant recurrence in the spine should be considered in the differential diagnosis of solitary spinal masses, even when imaging suggests more common lesions. https://thejns.org/doi/10.3171/CASE24830.
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