Abstract
Introduction: Bone Island is an asymptomatic lesion located in cancellous bone. Can be encountered in many places on the skeleton is rarely observed in the vertebral bodies. In this case giant cortical bone island was located in L2 vertebral body.Case52 years old male patient was consulted from urology clinic due to incidentally discovered large sclerotic lesion at L2 vertebral body on urinary x-ray imaging. CT and MRI demonstrated a large cortical bone island filling the left half of the L2 vertebral body. Since lesion was completely asymptomatic, no further diagnostic evaluation or treatment was made. After 2 years follow up, no sign of progression was noted.Discussion: Bone island is an asymptomatic benign tumoral lesion which characterized by formation of cortical bone in cancellous bone usually involves long bone epiphysis and metaphyses and pelvis. Vertebral body is a rare location for bone islands. Care should be taken for enlarging and scintigraphically active lesions.
References
- Park HS, Kim JR, Lee SY, Jang KY. Symptomatic giant (10-cm) bone island of the tibia. Skeletal Radiol 2005;34:347-50 2. Greenspan A. Bone island (enostosis): current concept—a review. Skeletal Radiol 1995;24:111-5
- Greenspan A, Steiner G, Knutzon R. Bone island (enostosis): clinical significance and radiologic and pathologic correlations. Skeletal Radiol 1991;20:85-90
- Brien EW, Mirra JM, Latanza L, Fedenko A, Luck J Jr. Giant bone island of femur. Case report, literature review, and its distinction from low grade osteosarcoma. Skeletal Radiol 1995;24:546-50
- Wang L, Chiang K, Kuo W, Chou K, Yang D. Mechanism of fractures of adjacent and augmented vertebrae following simulated vertebroplasty. J Biomech 2012;45:1372-8
Abstract
Giriş: Kemik adacığı, kanselöz kemik içerisinde yerleşim gösteren asemptomatik bir lezyondur. İskelet üzerinde birçok yerde görülebilmekle beraber nadir olarak vertebra korpuslarında gözlenir. Bu vakamızda da dev kortikal kemik adacığı L2 vertebra cisminde yerleşmiştir.Olgu: Elliiki yaşında erkek hasta üroloji bölümünce çekilen üriner grafide L2 vertebra cisminde siklerotik alan görülmesi üzerine danışıldı. Bilgisayarlı tomografi ve manyetik rezonans görüntüleme ile değerlendirilme sonrasında trabeküler kemik içerisinde vertebra cisminin sol yarısını kaplayacak büyüklükte dev kortikal kemik adacığı olduğu görüldü ve biyopsi ya da rezeksiyona gerek duyulmadı. İki yıllık takiplerinde lezyonda ilerleme gözlenmedi.Sonuç: Kemik adacığı kanselöz kemik içerisinde kortikal kemik oluşumu ile karakterize, sıklıkla uzun kemiklerin epifizlerinde ve metafizlerinde, pelvis ve olgumuzda olduğu gibi nadiren vertebra cisminde görülen asemptomatik benign tümoral lezyonlardır. Boyutlarında artış gösteren, sintigrafik olarak sıcak lezyonlarda ayırıcı tanıda dikkatli olunmalıdır.
References
- Park HS, Kim JR, Lee SY, Jang KY. Symptomatic giant (10-cm) bone island of the tibia. Skeletal Radiol 2005;34:347-50 2. Greenspan A. Bone island (enostosis): current concept—a review. Skeletal Radiol 1995;24:111-5
- Greenspan A, Steiner G, Knutzon R. Bone island (enostosis): clinical significance and radiologic and pathologic correlations. Skeletal Radiol 1991;20:85-90
- Brien EW, Mirra JM, Latanza L, Fedenko A, Luck J Jr. Giant bone island of femur. Case report, literature review, and its distinction from low grade osteosarcoma. Skeletal Radiol 1995;24:546-50
- Wang L, Chiang K, Kuo W, Chou K, Yang D. Mechanism of fractures of adjacent and augmented vertebrae following simulated vertebroplasty. J Biomech 2012;45:1372-8
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | April 1, 2012 |
| Published in Issue | Year 2012 Volume: 45 Issue: 1 |