Spinal metastases from breast cancer

Case contributed by Dr Bruno Di Muzio

Presentation

Followup for metastatic breast cancer.

Patient Data

Age: 60 years
Gender: Female
CT

CT Abdomen and pelvis (selected images)

Bone structures are diffusely affected by a pattern of multiple sclerotic micronodules. There is also large ascites with possible small peritoneal implants (not shown). No hepatic metastasis on this study (not shown).

Case Discussion

Probable bone metastases characterised by sclerotic micronodules. This patient has a confirmed diagnosis of breast adenocarcinoma. This diagnosis was made based on the characteristic imaging appearance and comparison with previous staging imaging.

In females, the commonest primary malignancy to give sclerotic bony metastases is breast cancer. In males, it is prostate cancer. In children it is neuroblastoma.

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Case information

rID: 21504
Published: 27th Jan 2013
Last edited: 8th May 2018
Tag: spine
Inclusion in quiz mode: Excluded

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