title: Stage IV Hodgkin's disease presenting with spinal epidural involvement and cauda equina compression as the initial manifestation: case report.
abstract: Hodgkin's disease very rarely presents clinically, initially with a paraspinal mass, but this should be considered in the differential diagnosis. A patient presenting with back pain was diagnosed to have Stage IV Hodgkin's disease. MRI revealed an extradural and intraspinal soft tissue mass with bone infiltration. The importance of MRI in the early evaluation of a paraspinal mass and in determining the extent of the disease is emphasized.
authors.affiliation: Department of Hematology and Immunology, Marmara University School of Medicine, Istanbul-Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Toprak
authors.forename: N
authors.initials: N
authors.lastname: Kodalli
authors.forename: T B
authors.initials: TB
authors.lastname: Alpdogan
authors.forename: A
authors.initials: A
authors.lastname: Giral
authors.forename: C A
authors.initials: CA
authors.lastname: Celikel
authors.forename: N
authors.initials: N
authors.lastname: Gurmen
authors.forename: M
authors.initials: M
authors.lastname: Bayik
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002420:Cauda Equina; D003937:Diagnosis, Differential; D015174:Epidural Neoplasms / Q000175:diagnosis*; D006689:Hodgkin Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D017116:Low Back Pain / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D009192:Myelography; D009367:Neoplasm Staging; D009408:Nerve Compression Syndromes / Q000175:diagnosis*