Idiopathic Focal Osteonecrosis of T9 Vertebral Body Mimicking a Malignant Tumor: A Case Report
Introduction: Occurrence of a focal lytic lesion which is “hot” on positron emission tomography (PET) scan is presumed to be neoplastic until proven otherwise. Focal osteonecrosis of vertebral body (VB) without collapse is a rare entity with sparse literature available. Case Report: A focal osteolyt...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-06-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | https://jocr.co.in/wp/2025/06/01/idiopathic-focal-osteonecrosis-of-t9-vertebral-body-mimicking-a-malignant-tumor-a-case-report/ |
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| author | Arvind G Kulkarni Shankargouda Patil Aniruddh Agrawal Sunil Chodavadiya Priyambada Kumar |
| author_facet | Arvind G Kulkarni Shankargouda Patil Aniruddh Agrawal Sunil Chodavadiya Priyambada Kumar |
| author_sort | Arvind G Kulkarni |
| collection | DOAJ |
| description | Introduction:
Occurrence of a focal lytic lesion which is “hot” on positron emission tomography (PET) scan is presumed to be neoplastic until proven otherwise. Focal osteonecrosis of vertebral body (VB) without collapse is a rare entity with sparse literature available.
Case Report:
A focal osteolytic lesion in a patient with a history of breast carcinoma, in remission, thought to be metastatic lesion on magnetic resonance imaging and PET-computed tomography (CT), with an inconclusive CT-guided biopsy, was found to be osteonecrosis on histopathology of aggregates of tissue obtained from the T9 VB during open surgery.
Conclusion:
Osteonecrosis without a VB collapse is a rare diagnosis, but should be considered a differential when examining suspected metastatic lesions in VB. |
| format | Article |
| id | doaj-art-12c04dab6ca24e2aa0a0d109acf81930 |
| institution | DOAJ |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-12c04dab6ca24e2aa0a0d109acf819302025-08-20T03:22:12ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-06-0115618518910.13107/jocr.2025.v15.i06.5710Idiopathic Focal Osteonecrosis of T9 Vertebral Body Mimicking a Malignant Tumor: A Case ReportArvind G KulkarniShankargouda PatilAniruddh AgrawalSunil ChodavadiyaPriyambada KumarIntroduction: Occurrence of a focal lytic lesion which is “hot” on positron emission tomography (PET) scan is presumed to be neoplastic until proven otherwise. Focal osteonecrosis of vertebral body (VB) without collapse is a rare entity with sparse literature available. Case Report: A focal osteolytic lesion in a patient with a history of breast carcinoma, in remission, thought to be metastatic lesion on magnetic resonance imaging and PET-computed tomography (CT), with an inconclusive CT-guided biopsy, was found to be osteonecrosis on histopathology of aggregates of tissue obtained from the T9 VB during open surgery. Conclusion: Osteonecrosis without a VB collapse is a rare diagnosis, but should be considered a differential when examining suspected metastatic lesions in VB.https://jocr.co.in/wp/2025/06/01/idiopathic-focal-osteonecrosis-of-t9-vertebral-body-mimicking-a-malignant-tumor-a-case-report/osteonecrosisvertebraepet ctmetastasis |
| spellingShingle | Arvind G Kulkarni Shankargouda Patil Aniruddh Agrawal Sunil Chodavadiya Priyambada Kumar Idiopathic Focal Osteonecrosis of T9 Vertebral Body Mimicking a Malignant Tumor: A Case Report Journal of Orthopaedic Case Reports osteonecrosis vertebrae pet ct metastasis |
| title | Idiopathic Focal Osteonecrosis of T9 Vertebral Body Mimicking a Malignant Tumor: A Case Report |
| title_full | Idiopathic Focal Osteonecrosis of T9 Vertebral Body Mimicking a Malignant Tumor: A Case Report |
| title_fullStr | Idiopathic Focal Osteonecrosis of T9 Vertebral Body Mimicking a Malignant Tumor: A Case Report |
| title_full_unstemmed | Idiopathic Focal Osteonecrosis of T9 Vertebral Body Mimicking a Malignant Tumor: A Case Report |
| title_short | Idiopathic Focal Osteonecrosis of T9 Vertebral Body Mimicking a Malignant Tumor: A Case Report |
| title_sort | idiopathic focal osteonecrosis of t9 vertebral body mimicking a malignant tumor a case report |
| topic | osteonecrosis vertebrae pet ct metastasis |
| url | https://jocr.co.in/wp/2025/06/01/idiopathic-focal-osteonecrosis-of-t9-vertebral-body-mimicking-a-malignant-tumor-a-case-report/ |
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