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Spiculated vertebral metastases from prostatic carcinoma

Report of first two cases

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Summary

Periosteal reaction with spicule formation is very rare in metastatic bone disease, as only 75 cases are reported in the literature. Although prostatic cancer often metastasizes to the spine, spiculation here has not been reported. We present the first two cases of vertebral metastases from prostatic carcinoma with spicule formation giving rise to osseous spinal stenosis and neurological deficits, best demonstrated by CT.

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References

  1. Ackerman LV, del Regato JA (1954) Cancer, 2nd edn. Mosby, St. Louis. Figs. 655, 657

    Google Scholar 

  2. Batson OV (1942) The vertebral vein system as a mechanism for the spread of metastases. AJR 48: 715–718

    Google Scholar 

  3. Bloom RA, Libson E, Husband JE, Stoker DJ (1987) The periosteal reaction to bone metastases. Skeletal Radiol 16: 629–634

    Google Scholar 

  4. Brunschwig A, Harmon PH (1935) Studies in bone sarcoma, III. An experimental and pathological study of role of periosteum in formation of bone in various primary bone tumours. Surg Gynecol Obstet 60: 30–40

    Google Scholar 

  5. Brunschwig A (1936) Reaction of bone to invasion by carcinoma. Surg Gynecol Obstet 63: 273–282

    Google Scholar 

  6. Bumpus HC (1921) Carcinoma of the prostate. Surg Gynecol Obstet 21: 31–43

    Google Scholar 

  7. Coley BL (1960) Neoplasms of bone and related conditions. 2nd edn. Hoeber, New York, p 458

    Google Scholar 

  8. Edeiken J (1981) Roentgen diagnosis of diseases of bone, vol 1, 3rd edn. Williams & Wilkins, Baltimore, pp 358–359

    Google Scholar 

  9. Edeiken J, Hodes PJ, Caplan LH (1966) New bone production and periosteal reaction. AJR 97: 708–718

    Google Scholar 

  10. Greenfield GB (1986) Radiology of bone disease, 4th edn. Lippincott, Philadelphia, p 441

    Google Scholar 

  11. Griffith HJ (1977) Marrow tumors. In: Ranniger K (ed) Encyclopedia of medical radiology, vol 5, part 6. Springer, Berlin Heidelberg New York, p 289

    Google Scholar 

  12. Grunow OH (1955) Radiating spicules, a non-specific sign of bone disease. Radiology 65: 200–205

    Google Scholar 

  13. Jaffe HL (1958) Tumours and tumorous conditions of the bones and joints. Lea and Febiger, Philadelphia, p 594

    Google Scholar 

  14. Jewdokomowa WM, Perelmann WM (1967) Die Röntgendiagnostik der Metastasen des Prostatakarzinoms. Radiol Diagn (Berl) 8: 103–114

    Google Scholar 

  15. Legier JF, Tauber LN (1986) Solitary metastasis of occult prostatic carcinoma simulating osteogenic sarcoma. Cancer 22: 168–172

    Google Scholar 

  16. Lehrer HZ, Maxfield WS, Nice CM (1970) The periosteal sunburst pattern in metastatic bone tumors. AJR 108: 154–161

    Google Scholar 

  17. Lodwick GS (1965) A systematic approach to the roentgen diagnosis of bone tumors. In: Cumley RW, McCay J, Beane DA, Brueggemann G, Connelly S, White W (eds) Tumors of bone and soft tissue. Year Book Medical Publishers, Chicago, p 50

    Google Scholar 

  18. Lodwick GS (1971) The Bones and Joints. An atlas of tumor radiology. Year Book Medical Publishers, Chicago, p 435

    Google Scholar 

  19. Peavy PV, Rogers JV, Clements JL, Bricker BJ (1973) Unusual osteoblastic metastases from carcinoid tumors. Radiology 107: 327–330

    Google Scholar 

  20. Penn MB, Scheier GJ (1964) Metastatic prostatic carcinoma simulating primary osteogenic sarcoma. Australas Radiol 8: 160–163

    Google Scholar 

  21. Ragsdale BD, Madewell JE, Sweet DE (1981) Radiologic and pathologic analysis of solitary bone lesions, part 2: periosteal reactions. Radiol Clin North Am 19: 749–783

    Google Scholar 

  22. Rendick RA, Levy AH (1941) Unusual metastatic bone lesions. AJR 46: 343–348

    Google Scholar 

  23. Wyche LD, de Santos LA (1978) Spiculated periosteal reaction in metastatic disease resembling osteosarcoma. Orthopedics 1: 215–221

    Google Scholar 

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Hove, B., Gyldensted, C. Spiculated vertebral metastases from prostatic carcinoma. Neuroradiology 32, 337–339 (1990). https://doi.org/10.1007/BF00593059

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