Unusual osteoblastic metastases in the spine secondary to adenocarcinoma of the pancreas.

An unusual case of purely osteoblastic metastasis in the spine from adenocarcinoma of the pancreas was reported. Severe low back pain with osteoblastic lesions pictured in a lumbar X-ray study were the initial manifestations. A percutaneous transpedicular vertebral bodies biopsy was performed and showed a metastatic adenocarcinoma. This clinical presentation is unusual and the diagnosis of pancreatic carcinoma should be considered when radiographs or bone scans show osteoblastic bone lesions.