PMC5425756_01
a MRI of the head showing a mass involving the left jugular foramen. b Surgical specimen showing glomus tumor with rich vascular plexus-associated nests of tumor cells. H&E. magnification x200.
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F1
Magnetic resonance imaging (MRI) of the head showed a 1.8 x 1.8 x 3.1 cm enhancing mass centered in the left jugular foramen (Fig. 1a). Postoperative histopathological examination confirmed the diagnosis of glomus jugulare tumor (Fig. 1b).
PMC5425756_02
a Sagittal section of MRI of the brain showing destruction of the clivus by the clivus tumor. b Coronal section of the MRI of the brain showing destruction of the clivus by the clivus tumor. c Poorly differentiated squamous cell carcinoma of the neoplastic cells are arranged in groups surrounded by nonneoplastic lymphoid cell component. H&E. magnification x200.
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F2
MRI of the head showed an extensive abnormal marrow signal involving the clivus, dorsum sellae, occipital condyles, and medial petrous temporal bones with extension into the nasopharynx, prevertebral space, sphenoid sinuses, left pterygopalatine fossa, inferior orbital fissure, orbital apex, and prepontine cistern (Fig. 2a, b). Pathology showed invasive poorly differentiated carcinoma, favoring nonkeratinizing squamous cell carcinoma (Fig. 2c).
PMC5425756_03
a CT of the abdomen showing splenomegaly, splenic masses, and ascites. b Diffuse large B-cell lymphoma involving lymph nodes. The neoplastic cells are large with prominent nucleoli and mitotic figure. H&E. magnification x400.
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F3
A CT scan of the chest, abdomen and pelvis revealed splenomegaly with splenic masses, ascites, and mediastinal and retroperitoneal lymphadenopathy (Fig. 3).