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'Ivory Vertebra' in Hodgkin's DiseaseRestoration of Trabecular Pattern After Therapy
Marjorie Hertz, MD;
Albert Solomon, MD;
Esther Aghal, MD
JAMA. 1977;238(22):2402.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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BONE involvement in Hodgkin's disease does not usually occur in its early stage.1 The "ivory" appearance of the vertebra is the result of a purely sclerotic change in the bone. This occurs in 10% to 15% of cases. Local pain, when present, may disappear following radiation therapy. However, the response of the ivory vertebra to therapy has not received wide comment. We report the case of a patient with Hodgkin's disease who had an ivory vertebra. Following radiation therapy, the bone was completely restored to its normal architecture.
Report of a Case
A 23-year-old man had had back pain of several months' duration. Examination showed enlarged supraclavicular lymph glands.
A biopsy specimen from a lymph gland showed nodular sclerotic Hodgkin's disease. A chest roentgenogram was normal. In May 1974, lymphangiography was performed. No pathologic findings were noted at that time. However, the 11th dorsal vertebra was found to be
. . . [Full Text PDF of this Article]
Author Affiliations
From the Departments of Diagnostic Radiology (Dr Hertz) and Hematology (Dr Aghai), Chaim Sheba Medical Center, Tel Hashomer, Israel; and the Department of Diagnostic Radiology; Baragwanath Hospital, Johannesburg, South Africa (Dr Solomon).
Footnotes
Reprint requests to Department of Diagnostic Radiology, Chaim Sheba Medical Center, Tel Hashomer, Israel (Dr Hertz).
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