Abstract
Non-Hodgkin's lymphoma (NHL) presenting as an isolated vertebral collapse is a very
rare condition. We present a case of non-Hodgkin's lymphoma presenting as L3 vertebral
body collapse on MRI. Isolated vertebral involvement was seen without evidence of
any lesion elsewhere. Workup for systemic evidence of malignancy with contrast-enhanced
CT of chest and abdomen did not reveal any other lesion. The patient was operated
for L3 transpedicular decompression and L2–L4 pedicle screw rod fixation. Biopsy revealed
diffuse large B cell lymphoma (DLBCL), NOS. Diagnosis was further confirmed by a postoperative
PET scan, which showed multiple deposits in perinephric fat and retroperitoneal lymph
nodes. Patient was treated with CHOP-based chemotherapy.
Keywords
non-Hodgkin's lymphoma - lymphoma - Pott's spine - vertebral collapse
