Primary Tumors of the Spine

Radiologic-Pathologic Correlation

Abstract Introduction

Primary Benign Lesions of the Spine Primary Malignant Lesions of the Spine Conclusions

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Conclusions

Metastatic disease and lymphoproliferative malignant disease of the spine commonly cause multiple lesions and, combined with clinical manifestations, often leave little doubt as to the diagnosis. However, in the presence of a solitary spinal lesion, the more unusual primary neoplasms must be considered. We have reviewed the clinical, pathologic, and radiologic appearances of the most common of these lesions. Patient symptoms are often nonspecific, and the discovery of these lesions requires a high degree of clinical suspicion and radiologic evaluation. Indeed, as we have illustrated, the radiologic appearances of these lesions are often characteristic, suggestive of a specific diagnosis. Even if the radiologic appearance is nonspecific, CT or MR imaging are vital for preoperative staging and specifically for evaluating the effect of the tumor on the spinal canal. It is important for radiologists to be aware of these imaging features to help guide our clinical colleagues in the difficult and complex treatment of these patients.

Abstract Introduction

Primary Benign Lesions of the Spine Primary Malignant Lesions of the Spine Conclusions

Source Information References