title: Metastatic bone involvement in vulvar cancer: report of a rare case and review of the literature.
abstract: OBJECTIVE
  Bone metastasis secondary to vulvar carcinoma is an infrequent clinical entity. Only ten cases have been published in the literature. We describe a case of squamous vulvar carcinoma, that presented with cervical vertebral involvement, as a part of distant spread.
  
  
  METHODS
  A 69-year-old woman presented with radicular pain and a painful cervical mass. MRI of the cervical spine was performed, showing an osteolytic lesion with spinal cord compression.
  
  
  CONCLUSIONS
  This case was unique in presenting vertebral metastasis eight months after chemotherapy and radiotherapy.
authors.affiliation: Radiation Therapy Unit, Second Department of Radiology, University Hospital of Athens "Attikon", Athens, Greece. mariatolia1@gmail.com
authors.forename: M
authors.initials: M
authors.lastname: Tolia
authors.forename: N
authors.initials: N
authors.lastname: Tsoukalas
authors.forename: K
authors.initials: K
authors.lastname: Platoni
authors.forename: M
authors.initials: M
authors.lastname: Dilvoi
authors.forename: P
authors.initials: P
authors.lastname: Pantelakos
authors.forename: N
authors.initials: N
authors.lastname: Kelekis
authors.forename: V
authors.initials: V
authors.lastname: Kouloulias
mesh_terms: D000368:Aged; D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D013125:Spinal Neoplasms / Q000556:secondary*; D014846:Vulvar Neoplasms / Q000473:pathology*