72-year-old male:
– With known pulmonary neuroendocrine tumor
– New onset dorsal pain
What do you see?
Vertebral blastic metastasis from pulmonary neuroendocrine origin presenting as an ivory vertebra.
IVORY VERTEBRAE (differential)
– Paget
– Lymphoma
– Metastasis on men: prostate
– Matastesis on women: breast
Do not forget: transitional cell carcinomas, neuroendocrine tumours, medullary thyroid carcinoma and osteosarcoma.