Hemangioma of the spine often has a characteristic appearance that we have reported previously and will not discuss further. The more frequent neoplasms of the spine such as metastatic disease, multiple myeloma, and lymphoma usually manifest with multifocal lesions and thus pose little diagnostic dilemma. However, in the presence of a solitary spinal lesion, the more uncommon primary tumors of the spine must be considered in the differential diagnosis.
Clinical presentation is often nonspecific, with back pain being the most common complaint.
Identification of the neoplasm requires a high degree of clinical suspicion and radiologic evaluation, with the resultant findings often being strongly suggestive of the diagnosis.