Spinal metastases from breast cancer

Case contributed by Bruno Di Muzio
Diagnosis almost certain


Followup for metastatic breast cancer.

Patient Data

Age: 60 years
Gender: Female



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 characterized 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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