PMC3337738_01
T1-weighted axial MR image after contrast administration (left) and sagittal STIR MR image (right) showing the lesion.
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F1
T7 vertebral body (VB) with tumor tissue invasion of the spinal canal and a space-occupying epidural hematoma between the T5 and T9 VB (fig. 1). The CT scan of the thorax region also demonstrated numerous pulmonary foci and pleural affections on both sides.
CT scan after extirpation of pleural foci and pulmonary lesions in the left lower lobe.
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F2
T7 vertebrectomy with VB replacement by cage interposition was performed. The extirpation of some pleural foci and pulmonary lesions in the left lower lobe was conducted during the same operation via thoracic surgical intervention (fig. 2).
Pleomorphic neoplastic cells are seen in the center of the picture (Hematoxylin and Eosin stain, original magnification x 200).
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F3
The histological profile of the pulmonary and pleural lesions was identical to that of the VB (fig. 3).