Lytic lesions in adult spine are a common manifestation of aggressive disease such
as primary bone tumor, metastasis, myeloma, or infectious pathology. Xanthoma arising
in the spine with purely intraosseous component is an extremely rare occurrence with
only six cases reported in the adult population, none in the cervical region. We report
the first case of primary xanthoma of the cervical spine in a 50-year-old male solely
confined to osseous compartment. The imaging mimics of lytic lesion with expansile
mass in adult spine are reiterated.
Key-words:
Adult - bone xanthoma - cervical - lytic - spine