Infected primary non-Hodgkin lymphoma of spine.
Primary bone lymphoma (PBL) comprises less than 5% of all malignant bone tumors and almost 7% of all extranodal lymphomas. Only 1.7% of all PBLs have been reported to involve the vertebrae. In our case, osteomyelitis was accidentally found during surgery, which might have resulted in the rapid collapse of vertebral body. This is the first report on primary lymphoma of the vertebrae with superimposed osteomyelitis in the English literature to the best of our knowledge. The patient reported here received anterior vertebrectomy and posterior interbody fusion with instrumentation for spinal instability. Tumor mass and the necrotic debris were removed. After the procedure, the patient received treatment with antibiotics and six cycles of chemotherapy. This case reminds us the possibility of hematologic seeding of bacteria in the tissue, especially with tumor necrosis. We suggest percutaneous needle aspiration for pathology and culture before making a decision whether or not to proceed with surgical decompression for fear of missing the occult bacterial infection.
Department of Orthopaedic Surgery, Tri-service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
Che-Wei
CW
Liu
Tsung-Ying
TY
Tsai
Yao-Feng
YF
Li
Leou-Chyr
LC
Lin
Shyu-Jye
SJ
Wang