Insights Imaging. 2020 Jun 29;11(1):80. doi: 10.1186/s13244-020-00883-6.
Bone up on spinal osseous lesions: a case review series.
Insights into imaging
Trinh T Nguyen, Jarett C Thelen, Alok A Bhatt
Affiliations
Affiliations
- University of Rochester Medical Center, 601 Elmwood Ave, Box 648, Rochester, NY, 14642, USA.
- Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA. [email protected].
PMID: 32601958
PMCID: PMC7324468 DOI: 10.1186/s13244-020-00883-6
Abstract
Spinal osseous neoplasms are frequently encountered and can be challenging when present as solitary lesions. Familiarity with the range of benign and malignant spinal pathology can help the radiologist formulate a comprehensive differential diagnosis. This article focuses on the spectrum of extradural spinal tumors, accounting for the majority of primary spinal tumors, by comparing the epidemiology, pathophysiology, clinical presentation, and characteristic imaging appearance of these lesions. The discussion includes the commonly encountered benign lesions, such as vertebral venous vascular malformation and enostosis, as well as malignant lesions including metastases and lymphoma. The article also includes other less-encountered primary spinal tumors such as plasmacytoma, osteoid osteoma, osteoblastoma, giant cell tumor, eosinophilic granuloma, chordoma, chondrosarcoma, osteosarcoma, Ewing's sarcoma, and angiosarcoma. Familiarity with the characteristic imaging features can help the radiologist reach an accurate diagnosis and obviate the need for unnecessary invasive procedures such as biopsy and surgery.
Keywords: Extradural spinal lesions; Neuroradiology; Spinal osseous tumors; Vascular lesions
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