2021
DOI: 10.1016/j.radcr.2021.04.063
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Recurrent adamantinoma metastatic to the spine: Clinical and imaging considerations

Abstract: Metastatic adamantinoma involving the spine is an extremely rare occurrence. In this case report, we present a patient with recurrent adamantinoma of the tibia which was found to have metastasized to the spine. The metastatic involvement was diagnosed pathologically, status post CT guided percutaneous core needle biopsy, performed after the patient returned with concerning symptoms and imaging findings suggestive of metastasis. The patient was ultimately treated surgically with vertebrectomy and reconstruction… Show more

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“…Clinically, pathological fracture occurs in 16%-23% of patients ( 17 ). In our two cases and previous reports of spinal adamantinoma, the patients often presented with back pain and neurological dysfunction ( 8 , 9 , 11 ). On X-ray, adamantinoma usually appears as an eccentric, occasionally central, lobular lytic lesion with peripheral sclerosis ( 14 ).…”
Section: Discussionsupporting
confidence: 70%
“…Clinically, pathological fracture occurs in 16%-23% of patients ( 17 ). In our two cases and previous reports of spinal adamantinoma, the patients often presented with back pain and neurological dysfunction ( 8 , 9 , 11 ). On X-ray, adamantinoma usually appears as an eccentric, occasionally central, lobular lytic lesion with peripheral sclerosis ( 14 ).…”
Section: Discussionsupporting
confidence: 70%