PMC10159291_01
Spinal magnetic resonance imaging (a and b) showing extra axial mass from T7 to T9 compresses the spinal cord iso-intense in T1WI, high signal after gadolinium injection (c and d).
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F1
T7 pin level) and sphincter dysfunction (urinary retention and constipation). Thoracic magnetic resonance imaging (MRI) showed a mass between T7 and T9 that was isointense on T1W1 and markedly enhanced with gadolinium [Figure 1].
Histological image showing (a) sarcomatous proliferation of round and oval cells with the presence of well-differentiated cartilaginous islands, (b) cartilaginous islands, and (c) poorly differentiated sarcomatous proliferation of round and oval cells.
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F2
The histology revealed round, oval, and atypical cells with evidence of mitosis, and well-differentiated islet cells with a cartilaginous component [Figure 2].
Spinal magnetic resonance imaging (a and b) showing metastases at L1 level.
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F3
Spinal MRI showed a recurrent T7-T9 mass and metastatic disease affecting L1 leading to compression of the filum and conus [Figure 3].
(a and b) spinal magnetic resonance imaging showing multiple metastatic lesions (spine and peritoneum) and mass recurrence at L1 level. (c) Chest CT-scan showing pulmonary effusion.
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F4
When she developed dyspnea and abdominal pain 2 weeks later, a whole-body CT examination revealed pneumonia, ascites, and peritoneal carcinomatosis [Figure 4].