Vertebral body mass

A.Prof Frank Gaillard et al.

The differential diagnosis for a vertebral body mass is broad and may range from a completely benign, sclerotic enostosis (bone island) to a malignant primary bone tumour.


Broadly, these lesions can be separated into:

  • non-neoplastic lesions
  • primary bone tumours
  • secondary metastatic disease
Non-neoplastic lesions
Primary bone tumours

Primary bone tumours of the spine are much less common than secondary metastatic disease:

Secondary metastatic disease

Vertebral metastases are significantly more common than primary bone tumours, especially in an older patient or one with known primary disease elsewhere.

Assessment of whether the bone lesions are sclerotic or lytic may help to narrow the differential diagnosis of primary disease if it is unknown.

Share article

Article information

rID: 14992
Section: Gamuts
Tag: spine
Synonyms or Alternate Spellings:
  • Vertebral body mass: differential diagnosis
  • Differential diagnosis of a vertabral body mass
  • Vertebral body tumours
  • Vertebral body tumour

Support Radiopaedia and see fewer ads

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.