Osteoblastic Metastases Mimickers on Contrast Enhanced CT
Secondary osseous involvement in lymphoma is more common compared to primary bone lymphoma. The finding of osseous lesion can be incidentally discovered during the course of the disease. However, osseous metastases are infrequently silent. Detection of osseous metastases is crucial for accurate stag...
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| Format: | Article |
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Wiley
2017-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2017/7278016 |
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| author | Fahad Al-Lhedan Sam Samaan Wanzhen Zeng |
| author_facet | Fahad Al-Lhedan Sam Samaan Wanzhen Zeng |
| author_sort | Fahad Al-Lhedan |
| collection | DOAJ |
| description | Secondary osseous involvement in lymphoma is more common compared to primary bone lymphoma. The finding of osseous lesion can be incidentally discovered during the course of the disease. However, osseous metastases are infrequently silent. Detection of osseous metastases is crucial for accurate staging and optimal treatment planning of lymphoma. The aim of imaging is to identify the presence and extent of osseous disease and to assess for possible complications such as pathological fracture of the load-bearing bones and cord compression if the lesion is spinal. We are presenting two patients with treated lymphoma who were in complete remission. On routine follow-up contrast enhanced CT, there were new osteoblastic lesions in the spine worrisome for metastases. Additional studies were performed for further evaluation of both of them which did not demonstrate any corresponding suspicious osseous lesion. The patients have a prior history of chronic venous occlusive thrombosis that resulted in collaterals formation. Contrast enhancement of the vertebral body marrow secondary to collaterals formation and venous flow through the vertebral venous plexus can mimic the appearance of spinal osteoblastic metastases. |
| format | Article |
| id | doaj-art-0a099eaac9d34353838ad93ab089e90d |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-0a099eaac9d34353838ad93ab089e90d2025-02-03T01:01:44ZengWileyCase Reports in Radiology2090-68622090-68702017-01-01201710.1155/2017/72780167278016Osteoblastic Metastases Mimickers on Contrast Enhanced CTFahad Al-Lhedan0Sam Samaan1Wanzhen Zeng2Medical Imaging Department, King Abdullah bin Abdulaziz University Hospital, Riyadh, Saudi ArabiaDepartment of Nuclear Medicine, The Ottawa Hospital, Ottawa, ON, CanadaDepartment of Nuclear Medicine, The Ottawa Hospital, Ottawa, ON, CanadaSecondary osseous involvement in lymphoma is more common compared to primary bone lymphoma. The finding of osseous lesion can be incidentally discovered during the course of the disease. However, osseous metastases are infrequently silent. Detection of osseous metastases is crucial for accurate staging and optimal treatment planning of lymphoma. The aim of imaging is to identify the presence and extent of osseous disease and to assess for possible complications such as pathological fracture of the load-bearing bones and cord compression if the lesion is spinal. We are presenting two patients with treated lymphoma who were in complete remission. On routine follow-up contrast enhanced CT, there were new osteoblastic lesions in the spine worrisome for metastases. Additional studies were performed for further evaluation of both of them which did not demonstrate any corresponding suspicious osseous lesion. The patients have a prior history of chronic venous occlusive thrombosis that resulted in collaterals formation. Contrast enhancement of the vertebral body marrow secondary to collaterals formation and venous flow through the vertebral venous plexus can mimic the appearance of spinal osteoblastic metastases.http://dx.doi.org/10.1155/2017/7278016 |
| spellingShingle | Fahad Al-Lhedan Sam Samaan Wanzhen Zeng Osteoblastic Metastases Mimickers on Contrast Enhanced CT Case Reports in Radiology |
| title | Osteoblastic Metastases Mimickers on Contrast Enhanced CT |
| title_full | Osteoblastic Metastases Mimickers on Contrast Enhanced CT |
| title_fullStr | Osteoblastic Metastases Mimickers on Contrast Enhanced CT |
| title_full_unstemmed | Osteoblastic Metastases Mimickers on Contrast Enhanced CT |
| title_short | Osteoblastic Metastases Mimickers on Contrast Enhanced CT |
| title_sort | osteoblastic metastases mimickers on contrast enhanced ct |
| url | http://dx.doi.org/10.1155/2017/7278016 |
| work_keys_str_mv | AT fahadallhedan osteoblasticmetastasesmimickersoncontrastenhancedct AT samsamaan osteoblasticmetastasesmimickersoncontrastenhancedct AT wanzhenzeng osteoblasticmetastasesmimickersoncontrastenhancedct |