Diagnosis and treatment of intraspinal blood system tumor (report of 7 cases)
ZHANG Jia
WANG Zhen-yu
LIN Guo-zhong
YU Tao
Abstract：Objective To summarize the clinical and imaging characteristics and therapeutic methods of the intraspinal blood system tumor. Methods The clinical data of 7 patients with intraspinal blood system tumor undergoing microsurgery under the electrophysiological monitoring in our hospital from January, 2000 to December, 2014 were analyzed retrospectively. Results The preoperative MRI showed the tumor was located in the cervical segment of the spinal cord in 1 patient, the cervicothoracic segment in 1, thoracic segment in 3, lumbosacral segment in 2. Of 7 patients, 2 received total resection of the tumors, 4 subtotal and 1 partial. Pathological examination showed that of 7 patients, 5 had non-Hodgkin's lymphomas and 2 leukemia. The postoperative symptoms were relieved in 5 patients with non-Hodgkin lymphomas and unchanged in 2 patients with leukemia. No patients died from the surgery. All the patients received systemic chemotherapy and 2 local radiotherapy after discharge from the hospital. Conclusions The intraspinal blood system tumor, especially leukemia, is a rare intraspinal tumor. The imaging manifestations of the intraspinal blood system tumor lack specificity. The microsurgery including decompression laminetomy and resection of the tumors should be recommended in the patients with symptoms caused by the compression of the spinal cord. The local radiotherapy and systemic chemotherapy should be performed according to postoperative pathological outcomes in the patients with intraspinal blood system tumor.
Keywords：Intraspinal tumorsLymphomaLeukemiaDiagnosisTreatment
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 13-16 )