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PURPOSE: To describe an unusual case of isolated, primary spinal Hodgkin\u0027s disease and to draw attention to this disease as a possible diagnosis in patients with mixed inflammatory cell infiltrate lesions located in the thoracic spine. STUDY DESIGN/SETTING: A case report of a 28-year-old woman who presented with back pain and progressive weakness in the lower extremities as a result of spinal cord compression from Hodgkin\u0027s disease of the thoracic vertebrae. METHODS: We report a new case of spinal cord compression resulting from Hodgkin\u0027s disease of the thoracic vertebrae. Decompression surgery was performed in the patient, followed by antibiotic treatment. RESULTS: Antibiotic therapy temporarily improved inflammation and fever. However, magnetic resonance imaging (MRI) evaluation showed that the inflammatory reaction in the lesion was not completely resolved. The disease progressed and later investigations revealed Hodgkin\u0027s disease, which improved with a course of chemotherapy and radiation. CONCLUSIONS: Hodgkin\u0027s disease should be considered in the differential diagnosis of spinal neoplastic lesions with clinical features similar to spondylitis. Because MRI evaluation showed that the vertebral disc was maintained in this case, the presence of a tumor rather than inflammation should have been suspected. (C) 2013 Elsevier Inc. 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Hodgkin's disease of the thoracic vertebrae
http://hdl.handle.net/10091/17649
http://hdl.handle.net/10091/1764905a16d63-a33a-4486-9934-f273fb3395db
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2014-06-20 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Hodgkin's disease of the thoracic vertebrae | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Extranodal lymphoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Hodgkin's disease | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Lymphoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Spinal cord | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Spinal cord compression | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Uehara, Masashi
× Uehara, Masashi× Takahashi, Jun× Hirabayashi, Hiroki× Kitahara, Jun× Kamijyo, Tetsuyoshi× Ebara, Sohei× Kato, Hiroyuki |
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信州大学研究者総覧へのリンク | ||||||
氏名 | Takahashi, Jun | |||||
URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.jeAhuakh.html | |||||
信州大学研究者総覧へのリンク | ||||||
氏名 | Kato, Hiroyuki | |||||
URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.WVkCbaSp.html | |||||
出版者 | ||||||
出版者 | ELSEVIER SCIENCE INC | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | SPINE JOURNAL. 13(8):E59-E63 (2013) | |||||
書誌情報 |
SPINE JOURNAL 巻 13, 号 8, p. E59-E63, 発行日 2013-08 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | BACKGROUND CONTEXT: Hodgkin's disease rarely occurs in the spine, which is usually a setting for the advanced form of the disease. PURPOSE: To describe an unusual case of isolated, primary spinal Hodgkin's disease and to draw attention to this disease as a possible diagnosis in patients with mixed inflammatory cell infiltrate lesions located in the thoracic spine. STUDY DESIGN/SETTING: A case report of a 28-year-old woman who presented with back pain and progressive weakness in the lower extremities as a result of spinal cord compression from Hodgkin's disease of the thoracic vertebrae. METHODS: We report a new case of spinal cord compression resulting from Hodgkin's disease of the thoracic vertebrae. Decompression surgery was performed in the patient, followed by antibiotic treatment. RESULTS: Antibiotic therapy temporarily improved inflammation and fever. However, magnetic resonance imaging (MRI) evaluation showed that the inflammatory reaction in the lesion was not completely resolved. The disease progressed and later investigations revealed Hodgkin's disease, which improved with a course of chemotherapy and radiation. CONCLUSIONS: Hodgkin's disease should be considered in the differential diagnosis of spinal neoplastic lesions with clinical features similar to spondylitis. Because MRI evaluation showed that the vertebral disc was maintained in this case, the presence of a tumor rather than inflammation should have been suspected. | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 1529-9430 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA11563339 | |||||
PubMed | ||||||
識別子タイプ | PMID | |||||
関連識別子 | https://pubmed.ncbi.nlm.nih.gov/23623631 | |||||
関連名称 | 23623631 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1016/j.spinee.2013.03.026 | |||||
関連名称 | 10.1016/j.spinee.2013.03.026 | |||||
権利 | ||||||
権利情報 | Copyright© 2013 Elsevier | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
WoS | ||||||
表示名 | Web of Science | |||||
URL | http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000323170600012 |