CASE REPORT

Primary cervical epidural malignant lymphoma with rheumatoid arthritis: a case report

Authors

Kenji Masuda1, Yuichi Mochida¹, Junpei Fujii¹, Junichiro Nakamura², Atsushi Sasaki², Hirotoshi Kita², Naoto Mitsugi² and Tomoyuki Saito²

1. Department of Chronic Intractable Disease Center, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama 232-0024, Japan
2. Department of Orthopaedic Surgery, Yokohama City University Medical Center, Yokohama, Japan

Received:

25 December 2006

Accepted:

19 January 2007

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Abstract

We report a case of primary cervical epidural malignant lymphoma with rheumatoid arthritis. Because of the acute progression of paralysis in both legs, surgical decompression and stabilization of the cervical spine were performed. The resected specimen showed proliferation of lymphoblastic cells diagnosed as malignant lymphoma. Four series of chemotherapy were administered after surgery, and the patient recovered from paralysis.

Key words

Cervical spine - Malignant lymphoma - Methotrexate - Rheumatoid arthritis - Surgical treatment