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Exophytic Lumbar Vertebral Body Mass in an Adult with Back Pain

Exophytic Lumbar Vertebral Body Mass in an Adult with Back Pain RADIOLOGY-PATHOLOGY CORRELATION SPINE Exophytic Lumbar Vertebral Body Mass in an Adult with Back Pain J.C. Benson, M.A. Vizcaino, D.K. Kim, C. Carr, P. Rose, L. Eckel, and F. Diehn ABSTRACT SUMMARY: Chordomas are rare primary bone malignancies derived from notochord remnants. The tumors often are slow-growing and often present with indolent, nonspecific symptoms. Nevertheless, chordomas are locally aggressive and highly prone to local recurrence, necessitating precise planning before biopsy and/or surgical resection. Familiarity with the imaging features of chordo- mas is, therefore, essential. This case highlights the typical imaging and pathologic features of a spinal chordoma as well as the sur- gical approach and the patient’s subsequent outcome. convincing activity nor photopenia in the corresponding region, n brief, this case involves a 70-year-old man presented with a 1- Imonth history of low-back and bilateral thigh pain that was nor were metastases seen elsewhere. unresponsive to physical therapy or chiropractic care. His symp- The marked T2 hyperintensity of the tumor, internal T2-hypoin- toms were exacerbated by standing and walking and affected his tense septations, and large extraosseous components were suggestive of a chordoma. Chondrosarcoma was considered, though classic left leg more than the right one. He had no known malignancy; http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Exophytic Lumbar Vertebral Body Mass in an Adult with Back Pain

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Publisher
American Journal of Neuroradiology
Copyright
© 2020 by American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A6749
Publisher site
See Article on Publisher Site

Abstract

RADIOLOGY-PATHOLOGY CORRELATION SPINE Exophytic Lumbar Vertebral Body Mass in an Adult with Back Pain J.C. Benson, M.A. Vizcaino, D.K. Kim, C. Carr, P. Rose, L. Eckel, and F. Diehn ABSTRACT SUMMARY: Chordomas are rare primary bone malignancies derived from notochord remnants. The tumors often are slow-growing and often present with indolent, nonspecific symptoms. Nevertheless, chordomas are locally aggressive and highly prone to local recurrence, necessitating precise planning before biopsy and/or surgical resection. Familiarity with the imaging features of chordo- mas is, therefore, essential. This case highlights the typical imaging and pathologic features of a spinal chordoma as well as the sur- gical approach and the patient’s subsequent outcome. convincing activity nor photopenia in the corresponding region, n brief, this case involves a 70-year-old man presented with a 1- Imonth history of low-back and bilateral thigh pain that was nor were metastases seen elsewhere. unresponsive to physical therapy or chiropractic care. His symp- The marked T2 hyperintensity of the tumor, internal T2-hypoin- toms were exacerbated by standing and walking and affected his tense septations, and large extraosseous components were suggestive of a chordoma. Chondrosarcoma was considered, though classic left leg more than the right one. He had no known malignancy;

Journal

American Journal of Neuroradiology – American Journal of Neuroradiology

Published: Oct 1, 2020

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