PMC3596148_01
Whole body MIP FDG-PET (A) and sagittal (B) and axial (C) fused FDG-PET/CT images revealing a hypermetabolic T1 lesion with SUVmax 6.7. Axial CT (D) reveals bone destruction by the mass.
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Subsequently, an FDG-PET/CT scan was performed revealing a hypermetabolic (SUVmax 6.7) mass in the left lamina and spinous process of T1 causing cortical destruction (Figure 1).
Post-contrast axial (A) and sagittal (B) T1 MRI cervicothoracic junction showing a 2.4 cm enhancing mass involving the spinous process and left lamina of T1 vertebra with posterior extension to adjacent left erector spinale muscle.
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T1 left lamina and spinous process, with posterior extension into the adjacent left erector spinae muscle, again suggestive of a bony metastasis (Figure 2). There was no intraspinal extension.
Specimen of the spinal tumor from radical resection in the left C6.
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Histopathology revealed pleomorphic tumor cells on a background of fibromatosis (Figure 3).