A previously asymptomatic 32-year-old man sought medical attention at the orthopaedic clinic due to upper back pain following a minor fall. His family history was unremarkable. During the examination, tenderness was noted over the dorsal vertebra, but neurological assessment revealed no abnormalities, and no skin lesions were observed. Laboratory studies yielded normal results. A dorsal spine radiograph unveiled a lytic lesion affecting the T5 vertebral body, leading to a pathological compression fracture. Further imaging through computed tomography (CT) and magnetic resonance imaging (MRI) was done and is shown in Fig. 1. A CT-guided biopsy was performed, and the histopathological examination is shown in Fig. 2.
Fig. 1
Computed tomography and MRI of the dorsal spine of the patient. Axial CT image (A) in bone window setting, axial T2 weighted (B), post-contrast T1 weighted (C) and Sagittal T2W image (D) MR images of the thoracic spine of the patient
Histopathological examination of the specimen obtained from CT-guided biopsy of the lesion. Haematoxylin and eosin-stained sections (H&E; x100) (A) and Higher magnification (H&E; x400) (B)
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