Key Findings |
Presenting Symptoms |
Chronic back pain with progressive weakness in bilateral lower limbs. |
Review of Systems |
Denied fever, loss of consciousness, and headaches. |
Red Flags |
Progressive weakness with recent rapid deterioration, nonambulatory, young age, bilateral leg numbness, micturition difficulty, increased constipation, and loss of sensation below T10. |
Imaging |
Contrast-enhanced MRI of the spine. |
Diagnosis |
Spinal cord compression secondary to unknown mass lesion. |
Treatment |
Laminectomy and thoracic spinal cord decompression with lesion excision. |
In-House Pathology Results |
Unknown etiology, non-neoplastic cyst with mixed lymphoplasmacytic and histiocytic infiltrate. |
Mayo Clinic Pathology Results |
Unknown etiology, non-neoplastic cyst with mixed lymphoplasmacytic and histiocytic infiltrate. |
(+) Biomarkers |
S100 and CD68. |
(-) Biomarkers |
AE1/3, CD20, SMA, Pax5, CD30, CD15, Mum1, CD34, CD3, Desmin, Langerin, and CD1a. |