A 68-Year-Old Woman with a Remote History of Breast Cancer Presenting with Low Back Pain to a Chiropractic Clinic in Hong Kong with Imaging Findings Consistent with a Vertebral Hemangioma and Vertebral Metastatic Lesions

Eric Chun-Pu Chu; Robert J. Trager; Alan Te Chang Chen; John Sing Fai Shum

doi:10.12659/AJCR.938034

24 October 2022 : Case report Hong Kong

A 68-Year-Old Woman with a Remote History of Breast Cancer Presenting with Low Back Pain to a Chiropractic Clinic in Hong Kong with Imaging Findings Consistent with a Vertebral Hemangioma and Vertebral Metastatic Lesions

Mistake in diagnosis, Rare disease

Eric Chun-Pu Chu

^1ABCDE, Robert J. Trager

^2CDEF*, Alan Te Chang Chen^1ABCE, John Sing Fai Shum^3CDE

DOI: 10.12659/AJCR.938034

Am J Case Rep 2022; 23:e938034

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Figure 3. Lumbar magnetic resonance imaging features of the L5 vertebra. Thickened vertical bone trabeculae (arrowheads) are apparent as small hypointense areas in a salt-and-pepper pattern in the axial T1-weighted image (A) and as vertical hypointense striations in the sagittal T2-weighted image (B), which are both typical imaging findings of a vertebral hemangioma. Also noted is the epidural extension of the tumor (*; images A and B), which causes severe spinal stenosis and cauda equina compression and is more suggestive of malignancy.

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A 68-Year-Old Woman with a Remote History of Breast Cancer Presenting with Low Back Pain to a Chiropractic Clinic in Hong Kong with Imaging Findings Consistent with a Vertebral Hemangioma and Vertebral Metastatic Lesions

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