Ivory Vertebra Phenomenon as a Sign of Metastatic Dissemination in Pancreatobiliary Neoplasia: A Case Report and Literature Review.

IF 1.3 Q3 MEDICINE, GENERAL & INTERNAL Cureus Pub Date : 2025-01-25 eCollection Date: 2025-01-01 DOI:10.7759/cureus.77978
Madalena Santos, Mafalda Pinho, Joana Gouveia, Mariana Sousa, Lígia Peixoto
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Abstract

The bone tissue is a specialised connective tissue composed of several components that undergo constant remodelling. The balance between bone deposition and resorption is essential for maintaining a healthy bone structure. In case of a disruption in this remodelling process, which can lead to an imbalance between bone deposition and resorption, an increase in the opacity of a vertebral body may be observed in imaging studies, resulting in what is known as the "ivory vertebra sign". This condition can be present in many diseases such as Paget's disease, lymphomas, metastatic prostate or breast tumours and osteomyelitis. We present the case of a patient with an ivory vertebra, an uncommon radiological finding, which was related to another rare disease.

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乳白色椎体现象是胰胆管肿瘤转移扩散的标志:1例报告并文献复习。
骨组织是一种特殊的结缔组织,由几个组成部分组成,这些组成部分经过不断的重塑。骨沉积和骨吸收之间的平衡对维持健康的骨结构至关重要。如果这种重塑过程中断,可能导致骨沉积和骨吸收之间的不平衡,在影像学研究中可能会观察到椎体不透明的增加,从而导致所谓的“象牙椎征”。这种情况可以出现在许多疾病中,如佩吉特病、淋巴瘤、转移性前列腺或乳腺肿瘤和骨髓炎。我们提出一个病例的病人与象牙椎骨,一个不常见的放射发现,这是有关的另一种罕见的疾病。
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