case_images: PMC7276609_01
case_images: Scalloping of L1 vertebral body.
case_images: JOCR-9-39-g001.jpg
case_images: PMC7276609_01_JOCR-9-39-g001.jpg
case_images: F1
case_images: Plain radiographs of the lumbosacral spine showed scalloping of the anterior border of L1 vertebra and degenerative changes lower down at L4-L5(Fig. 1).
case_images: Magnetic resonance imaging picture post-contrast enhancement showing hyperintense lesion causing destruction of L1 vertebra.
case_images: JOCR-9-39-g002.jpg
case_images: PMC7276609_01_JOCR-9-39-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) of the lumbar spine revealed heterogeneously enhancing retroperitoneal lesion at L1 with areas of necrosis (Fig. 2-4).
case_images: Axial non-contrast T2-weighted magnetic resonance imaging shows isointense lesion clearly demarcated.
case_images: JOCR-9-39-g003.jpg
case_images: PMC7276609_01_JOCR-9-39-g003.jpg
case_images: F3
case_images: Magnetic resonance imaging (MRI) of the lumbar spine revealed heterogeneously enhancing retroperitoneal lesion at L1 with areas of necrosis (Fig. 2-4).
case_images: Sagittal T2-weighted non-contrast magnetic resonance imaging showing iso-to hypo-intense lesion adjacent to L1.
case_images: JOCR-9-39-g004.jpg
case_images: PMC7276609_01_JOCR-9-39-g004.jpg
case_images: F4
case_images: Magnetic resonance imaging (MRI) of the lumbar spine revealed heterogeneously enhancing retroperitoneal lesion at L1 with areas of necrosis (Fig. 2-4).
case_images: Positronemission tomographyscan demonstrating SUV max of the lesion 14.62.
case_images: JOCR-9-39-g005.jpg
case_images: PMC7276609_01_JOCR-9-39-g005.jpg
case_images: F5
case_images: Positronemission tomography (PET) scan was suggestive of metabolically active lesion seen at L1 and L2 vertebra (Fig. 5).
case_images: Metaiodobenzylguanidine (MIBG) scan showing MIBG avid lesion near lumbar vertebra.
case_images: JOCR-9-39-g006.jpg
case_images: PMC7276609_01_JOCR-9-39-g006.jpg
case_images: F6
case_images: Scintigraphic evidence of metaiodobenzylguanidine (MIBG) avid mass in upper abdomen suggesting paraganglioma was found on iodine-123-MIBG scan(Fig. 6).
case_images: Posterior pedicular screw instrumentation.
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case_images: PMC7276609_01_JOCR-9-39-g007.jpg
case_images: F7
case_images: Pedicular screw instrumentation (except at L1) and fusion were performed from D11 to L3 (Fig. 7).
case_images: Tumor mass being isolated.
case_images: JOCR-9-39-g008.jpg
case_images: PMC7276609_01_JOCR-9-39-g008.jpg
case_images: F8
case_images: In the second stage, the patient underwent excision of tumor mass with L1 corpectomy and anterior reconstruction with an expandable titanium cage and tricortical onlay graft by a retroperitoneal approach in the right lateral position (Fig. 8-10).
case_images: Reconstruction with expandable titanium cage.
case_images: JOCR-9-39-g009.jpg
case_images: PMC7276609_01_JOCR-9-39-g009.jpg
case_images: F9
case_images: In the second stage, the patient underwent excision of tumor mass with L1 corpectomy and anterior reconstruction with an expandable titanium cage and tricortical onlay graft by a retroperitoneal approach in the right lateral position (Fig. 8-10).
case_images: Final post-operative radiograph showing instrumentation and tricortical strut graft.
case_images: JOCR-9-39-g010.jpg
case_images: PMC7276609_01_JOCR-9-39-g010.jpg
case_images: F10
case_images: In the second stage, the patient underwent excision of tumor mass with L1 corpectomy and anterior reconstruction with an expandable titanium cage and tricortical onlay graft by a retroperitoneal approach in the right lateral position (Fig. 8-10).