PMC9112982_01
T2-weighted magnetic resonance imaging of the thoracic spine: (a) sagittal image showing a heterogeneous mass with an exophytic component at T6 level and (b) axial image.
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F1
The thoracic MRI demonstrated a focal intramedullary lesion with an exophytic component at the T6 level with a mixed T2 signal intensity [Figure 1].
Intraoperative photographs (a) during the excision of a creamy yellow tumor which is fungating from the cord; (b) an irregularly shaped solid-soft tumor mass measuring 3 x 1.5 x 1 cm tumor after total removal.
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F2
Utilizing an operating microscope, the patient underwent a laminectomy and midline myelotomy resulting in gross- total tumor excision [Figure 2].
Pathology of the tumor, (a) presence of different components including thyroid like glands along with organoid corpuscle like nerve bundles (arrow) and (b) abundant adipose tissue along with focal mature cartilage (arrow) and some glandular structures (arrowhead).
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F3
The lesion proved to be a mature teratoma [Figure 3].
Postoperative T2-weighted sagittal magnetic resonance imaging of the thoracic spine shows total removal of the teratoma.
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F4
On the 10-day postoperative, MRI confirmed complete tumor resection [Figure 4].