PMC5337315_01
CT spine showing a mass at level of C3 with marked osseous destruction.
CRIHEP2017-8567695.001.jpg
PMC5337315_01_CRIHEP2017-8567695.001.jpg
fig1
Computerized tomography (CT) of the cervical spine (Figure 1) revealed a mass at level of C3 with marked osseous destruction and encasement of right vertebral artery.
MRI of cervical spine: destructive enhancing mass at level of C2-C3 with evidence of spinal cord compression.
CRIHEP2017-8567695.002.jpg
PMC5337315_01_CRIHEP2017-8567695.002.jpg
fig2
CT abdomen showing right hepatic lobe mass.
CRIHEP2017-8567695.003.jpg
PMC5337315_01_CRIHEP2017-8567695.003.jpg
fig3
CT and MRI of the brain revealed no acute intracranial hemorrhage or evidence of intracranial neoplasm. CT imaging of abdomen (Figure 3) was significant for a right hemiliver mass.
CT cervical spine after surgery showing removal of the tumor.
CRIHEP2017-8567695.004.jpg
PMC5337315_01_CRIHEP2017-8567695.004.jpg
fig4
Subsequently upon stabilization he underwent occipital cervical stabilization and fusion (Figure 4) with excisional biopsy.
Low magnification field of the tumor showing hepatocytes with trabecular pattern of varying thickness separated by sinusoids, features consistent with HCC.
CRIHEP2017-8567695.005.jpg
PMC5337315_01_CRIHEP2017-8567695.005.jpg
fig5
Histology of the cervical mass confirmed the diagnosis of metastatic hepatocellular carcinoma (Figures 5 and 6).
High magnification field shows thick trabecula compressed into compact mass surrounded by sinusoids.
CRIHEP2017-8567695.006.jpg
PMC5337315_01_CRIHEP2017-8567695.006.jpg
fig6
Histology of the cervical mass confirmed the diagnosis of metastatic hepatocellular carcinoma (Figures 5 and 6).