PMC9479604_01
Preoperative thoracolumbosacral MRI T2-weighted sagittal (a) and axial (b) images documented a T12 burst pathological fracture with severe spinal cord compression by a thick epidural tissue and a large subcutaneous paraspinal ovalar lesion (54 x 60 x 39 mm). These lesions appear inhomogeneously hyperintense on STIR sequences (c).
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F1
T1/T2-weighted images and STIR sequences [Figure 1]. The patient underwent an urgent T12 decompressive laminectomy with T10-T11-L1 fixation using transpedicle titanium screws.
Intraoperative image showed en bloc removal of the cutaneous/subcutaneous Malignant Peripheral Nerve Sheath Tumors.
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F2
The cutaneous/ subcutaneous lesion was also excised en bloc [Figure 2].