A rare case of monostotic spinal fibrous dysplasia mimicking solitary metastatic lesion of thyroid carcinoma

Sharifudin, Mohd Ariff and Zakaria@Mohamad, Zamzuri and Awang, Mohamed Saufi and Mohamed Amin, Mohamed Azril and Abd. Aziz, Azian (2016) A rare case of monostotic spinal fibrous dysplasia mimicking solitary metastatic lesion of thyroid carcinoma. Malaysian Journal of Medical Sciences, 23 (1). pp. 81-85. ISSN 1394-195X

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Abstract

Monostotic fibrous dysplasia of the vertebra is a rare entity. A case of a 53-year-old lady who presented with an 8 months history of pain in the thoracic spine region with paraparesis is discussed. She had a history of papillary thyroid carcinoma and had undergone total thyroidectomy one year prior to her current problem. Magnetic resonance imaging revealed isolated osteolytic lesion over the posterior element of the T12 vertebra with narrowing of the spinal canal causing compression of the cord. The diagnosis of fibrous dysplasia was made histologically. Fibrous dysplasia rarely occurs in axial bones compared with peripheral bones. This case illustrates that osteolytic lesion of the vertebrae should be evaluated with detailed radiological and histopathological examination before an empirical diagnosis of spinal metastasis is made in an adult with a background history of primary malignancy well-known to spread to the bone.

Item Type:	Article (Journal)
Additional Information:	5770/47445
Uncontrolled Keywords:	fibrous dysplasia, monostotic, thoracic vertebra, thyroid carcinoma, spinal cord compression
Subjects:	R Medicine > RB Pathology R Medicine > RC Internal medicine > RC254 Neoplasms. Tumors. Oncology (including Cancer) R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation Kulliyyah of Medicine > Department of Radiology Kulliyyah of Medicine > Department of Surgery
Depositing User:	DR MOHD ARIFF SHARIFUDIN
Date Deposited:	06 Jan 2016 19:58
Last Modified:	16 Mar 2017 11:00
URI:	http://irep.iium.edu.my/id/eprint/47445

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