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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 of C2 & C3 are sclerotic (increased opacity -orange arrows).  DJD (degenerative Joint Disease) with anterior osteophytes at C3, C5 & C6. There is decreased vertebral body height of C5.  The intervertebral disk spaces are maintained at normal height.
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MPX1211_synpic60569: Vertebral bodies of C2 & C3 are sclerotic (increased opacity -orange arrows). DJD (degenerative Joint Disease) with anterior osteophytes at C3, C5 & C6. There is decreased vertebral body height of C5. The intervertebral disk spaces are maintained at normal height.


Metastatic Prostate Cancer (blastic)

USU Teaching File MUTF - MedPix (2014)

Vertebral bodies of C2 & C3 are sclerotic (increased opacity -orange arrows).  DJD (degenerative Joint Disease) with anterior osteophytes at C3, C5 & C6. There is decreased vertebral body height of C5.  The intervertebral disk spaces are maintained at normal height.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1211_synpic60569: Vertebral bodies of C2 & C3 are sclerotic (increased opacity -orange arrows). DJD (degenerative Joint Disease) with anterior osteophytes at C3, C5 & C6. There is decreased vertebral body height of C5. The intervertebral disk spaces are maintained at normal height.

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.