PMC3474216_01
CT of the neck demonstrating erosive metastatic tumor of the C4 vertebral body.
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MRI demonstrated an erosive mass within the C4 vertebral body extending through the pedicle on the left side and causing severe spinal stenosis (Figures 1 and 2).
MRI of the cervical spine demonstrating erosive metastatic tumor of the C4 vertebral body.
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MRI demonstrated an erosive mass within the C4 vertebral body extending through the pedicle on the left side and causing severe spinal stenosis (Figures 1 and 2).
Postoperative cervical spine X rays demonstrating cervical corpectomy with placement of cage and posterior lateral mass instrumentation.
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Patient underwent needle biopsy followed by anterior cervical corpectomy and fusion and finally posterior lateral mass instrumentation and fusion (Figure 3).
Metastatic adenocarcinoma involving trabecular bone (H&E, 200x), with (inset) immunoperoxidase staining of tumor for CDX-2 (400x).
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Pathological examination demonstrated metastatic adenocarcinoma composed of infiltrating glands and focal sheets of moderately differentiated tumor (Figure 4).