Introduction:
Spine is the most common destination for tumor metastasis after lung and
liver1 and spine metastasis are the most frequent
spinal tumors2. Up to 40 percent of patients with
tumor are shown to have spine metastasis3. Recognition
of spinal involvement in those with cancer is important as the spine
involvement is first presenting finding in around 10 percent of patients
with cancers2. Also, symptomatic spinal cord
compression due to spine metastasis can lead to an irreversible spinal
cord injury within only a week in around one third of
cases4. Recently, due to improvement in diagnostic and
therapeutic armamentarium, the prevalence of spinal metastasis has
increased significantly3, 5, 6. So, the need to
appropriately diagnose and manage spinal metastasis is strongly felt.
In the following, we present a case of a metastatic vertebral (L1)
involvement referred to our clinic with an atypical presentation of
severe inguinal pain. Then, we further delineate the diverse clinical
manifestation of metastatic spinal diseases reported in the literature.