Imaging Presentation Highly Manifested as Tuberculosis in Spinal Hemangioendothelioma: A Case Report


Although spinal tuberculosis and spinal tumors are difficult to distinguish in clinical manifestations, their respective imaging presentations are typical and specific, which makes it relatively easier to attain a correct diagnosis. Spinal tuberculosis is usually endemic in developing countries with conditions of poverty and malnutrition. Tuberculosis is also common in China, and we are experienced in diagnosing tuberculosis spondylitis. However, the diversification and the trend of tumor incidence in modern society are also increasing, which challenges our diagnosis of a spinal tumor. This article presents a case of spinal metastasis tumors whose imaging presentation is so similar to tuberculosis that we made a diagnostic error on it. Both computed tomography and magnetic resonance imaging of the thoracic spine highly supported the initial diagnosis of spinal tuberculosis. However, pathological examination of the excised specimen resulted in the diagnosis of spinal hemangioendothelioma.


Metastasis, hemangioendothelioma, spinal tuberculosis, case report

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Article Type
Case Report
Publication history
Received: Tue 15, Mar 2022
Accepted: Mon 04, Apr 2022
Published: Mon 18, Apr 2022
© 2023 Xue-dong Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JSO.2022.01.02

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Corresponding Author
Xue-dong Li
Department of Orthopedics, The Third Affiliated Hospital (The Affiliated Luohu Hospital) of Shenzhen University, Shenzhen, China

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