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Metastatic Prostate Cancer (blastic)

USU Teaching File MUTF - MedPix (2014)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Metastatic Prostate Cancer (blastic)

History: 69 yo man presents with lower back pain & neck pain. He had a total prostatectomy two years earlier. Post-op followup PSA was 17; and, two months later, PSA has risen to 39. No other history is available.

Findings: L-Spine Films #1-#2 #1: L2-L5 with increasing density. Many osteophytes. Surgical clips in pelvic inlet consistent with prostatectomy. No fractures. Bones aligned. #2: Lateral: L2-L5 with increasing density. Osteophytes throughout. C-Spine Films #3-PA, #4-lateral, #5-odontoid C2 & C3 are sclerotic. Anterior osteophytes at C3, C5 & C6. C5 with decreased vertebral body height. Disk spaces are maintained. #5 odontoid - has increased antlantoaxial joint space on right.

Ddx: Blastic bone metastasis: breast prostate lymphoma carcinoid rarely PNET (medulloblastoma, neuroblastoma, children)

Dxhow: Clinical history

No MeSH data available.


Vertebral bodies L2-L5 show increased opacity from osteoblastic metastases.  Incidental age-related DJD (degenerative Joint Disease) with osteophytes throughout spine. Multiple surgical clips along the sides of the pelvic inlet consistent with prostatectomy and lymph node dissection.
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MPX1211_synpic60565: Vertebral bodies L2-L5 show increased opacity from osteoblastic metastases. Incidental age-related DJD (degenerative Joint Disease) with osteophytes throughout spine. Multiple surgical clips along the sides of the pelvic inlet consistent with prostatectomy and lymph node dissection.


Metastatic Prostate Cancer (blastic)

USU Teaching File MUTF - MedPix (2014)

Vertebral bodies L2-L5 show increased opacity from osteoblastic metastases.  Incidental age-related DJD (degenerative Joint Disease) with osteophytes throughout spine. Multiple surgical clips along the sides of the pelvic inlet consistent with prostatectomy and lymph node dissection.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1211&req=5

MPX1211_synpic60565: Vertebral bodies L2-L5 show increased opacity from osteoblastic metastases. Incidental age-related DJD (degenerative Joint Disease) with osteophytes throughout spine. Multiple surgical clips along the sides of the pelvic inlet consistent with prostatectomy and lymph node dissection.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Metastatic Prostate Cancer (blastic)

History: 69 yo man presents with lower back pain & neck pain. He had a total prostatectomy two years earlier. Post-op followup PSA was 17; and, two months later, PSA has risen to 39. No other history is available.

Findings: L-Spine Films #1-#2 #1: L2-L5 with increasing density. Many osteophytes. Surgical clips in pelvic inlet consistent with prostatectomy. No fractures. Bones aligned. #2: Lateral: L2-L5 with increasing density. Osteophytes throughout. C-Spine Films #3-PA, #4-lateral, #5-odontoid C2 & C3 are sclerotic. Anterior osteophytes at C3, C5 & C6. C5 with decreased vertebral body height. Disk spaces are maintained. #5 odontoid - has increased antlantoaxial joint space on right.

Ddx: Blastic bone metastasis: breast prostate lymphoma carcinoid rarely PNET (medulloblastoma, neuroblastoma, children)

Dxhow: Clinical history

No MeSH data available.