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A Role for Vertebral Biopsy in Selected Patients with Known MalignancyA Report of Three Cases
Kai-Uwe Lewandrowski, MD1; Daisuke Togawa, MD, PhD1; Thomas W. Bauer, MD, PhD1; Robert F. McLain, MD1
1 Cleveland Spine Institute (K.-U.L., D.T., T.W.B., R.F.McL.) and Orthopaedic Surgery and Anatomic Pathology (T.W.B.), The Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk A 41, Cleveland, OH 44195
The Journal of Bone & Joint Surgery.  2005; 87:1348-1353  doi:10.2106/JBJS.C.01664
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Extract

Skeletal metastases commonly occur in the spine1-4 and present at multiple levels in as many as 40% to 70% of patients who have disseminated malignant tumors5-7. Skeletal metastases most commonly arise from breast, lung, prostate, colorectal, and renal primary tumors as well as from lymphoreticular tumors, such as lymphoma or multiple myeloma8-12. Lesions that are metastatic to the spine represent the first manifestation of cancer in as many as 20% of symptomatic patients13,14. Overall, approximately 10% of patients with neoplastic disease are likely to have clinically important symptoms resulting from secondary lesions of the spine3,15-17.
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