Chondrosarcoma of the spine-a case report

Wien Med Wochenschr. 2023 Oct;173(13-14):334-338. doi: 10.1007/s10354-021-00897-9. Epub 2022 Feb 4.

Abstract

Case: A 73-year-old male patient presented with a 3-month history of back pain. In bone scintigraphy and the FDG PET-CT scan (fluorodeoxyglucose positron-emission computed tomography), highly suspect uptake levels were found in TH12-L1. Accordingly, an osteodestructive process was found on MRI (magnetic resonance imaging). Following a successfully performed biopsy of TH12, histologic analysis of the bone material revealed a chondrosarcoma (G1; T4N2M0). Complete resection of the tumor was successfully performed, since chondrosarcoma are resistant to radiation and chemotherapy.

Conclusion: As chondrosarcoma is a rare bone neoplasm, it must be considered in the differential diagnosis of lower back pain to initiate adequate treatment.

Keywords: Back pain; Bone turnover markers; FDG PET-CT; Spine; Vertebral tumor.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bone Neoplasms* / diagnostic imaging
  • Bone Neoplasms* / surgery
  • Chondrosarcoma* / diagnostic imaging
  • Chondrosarcoma* / surgery
  • Fluorodeoxyglucose F18
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Positron Emission Tomography Computed Tomography
  • Positron-Emission Tomography / methods
  • Radiopharmaceuticals
  • Tomography, X-Ray Computed

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18