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 |