Table 2.
List of paraspinal soft tissue tumours with possible bone involvement
Condition | Description of bone change |
---|---|
Soft tissue tumours | |
Benign | |
BPNST | Geographic with sclerotic margin or indistinct borders, foramen enlargement |
Leiomyoma | Geographic indistinct borders |
Myxoma | Geographic indistinct borders |
Locally aggressive | |
Solitary fibrous tumour | Geographic indistinct borders |
Malignant | |
MPNST | Geographic indistinct borders or moth-eaten lysis |
Liposarcoma | Moth-eaten lysis |
Leiomyosarcoma | Moth-eaten lysis |
Synovial sarcoma | Moth-eaten or geographic with sclerotic margin; periosteal reaction |
Tumours mimics | |
Trauma | Fracture, luxation |
Infection | Erosion of vertebral body endplates and disc space narrowing |
HEM | Diffuse changes: sclerotic with areas of lucency, vertebral deformity (fish mouth, H-shaped) |
Crystal deposition disease | Erosion with sclerotic margin, other affected joints |
Degenerative | Vertebral narrowing, approximation of adjacent spinous processes, facet joint hypertrophy, sclerosis, osteophytes |