case_images: PMC5623769_01
case_images: Computed tomography (CT) of the chest in the axial plane with (a) bone window and (b) soft tissue window.
case_images: CRIRA2017-8135957.001.jpg
case_images: PMC5623769_01_CRIRA2017-8135957.001.jpg
case_images: fig1
case_images: Magnetic resonance imaging (MRI) of the T-spine was obtained to further characterize the degree of cord compression and showed the same infiltrating mass filling the left T2-T3 neural foramen (Figures 1 and 2).
case_images: Magnetic resonance imaging (MRI) of the thoracic spine in the axial plane with (a) T1-weighted sequence without contrast, (b) T1-weighted sequence with contrast, and (c) T2-weighted sequence.
case_images: CRIRA2017-8135957.002.jpg
case_images: PMC5623769_01_CRIRA2017-8135957.002.jpg
case_images: fig2
case_images: Magnetic resonance imaging (MRI) of the T-spine was obtained to further characterize the degree of cord compression and showed the same infiltrating mass filling the left T2-T3 neural foramen (Figures 1 and 2).
case_images: Bone scan showing tracer uptake in the upper T-spine and left 4th rib, corresponding to areas of direct tumour involvement.
case_images: CRIRA2017-8135957.003.jpg
case_images: PMC5623769_01_CRIRA2017-8135957.003.jpg
case_images: fig3
case_images: A bone scan was notable for tracer uptake in the left 4th rib and T2-T3 spine, correlating with direct tumour involvement (Figure 3).
case_images: Intermediate power view of the tumour showing a cellular proliferation of pleomorphic cells with epithelioid morphology (H&E stain, 200x original magnification).
case_images: CRIRA2017-8135957.004.jpg
case_images: PMC5623769_01_CRIRA2017-8135957.004.jpg
case_images: fig4
case_images: Histologic examination showed a proliferation of markedly pleomorphic cells, with some demonstrating epithelioid morphology (Figure 4), interlaced with cellular regions showing a spindled, sarcomatoid appearance (Figure 5).
case_images: Intermediate power view of the tumour reflecting the spindled, sarcomatoid component (H&E stain, 200x original magnification).
case_images: CRIRA2017-8135957.005.jpg
case_images: PMC5623769_01_CRIRA2017-8135957.005.jpg
case_images: fig5
case_images: Histologic examination showed a proliferation of markedly pleomorphic cells, with some demonstrating epithelioid morphology (Figure 4), interlaced with cellular regions showing a spindled, sarcomatoid appearance (Figure 5).
case_images: Pan-cytokeratin immunohistochemistry, accentuating the epithelial component within the tumour (200x original magnification).
case_images: CRIRA2017-8135957.006.jpg
case_images: PMC5623769_01_CRIRA2017-8135957.006.jpg
case_images: fig6
case_images: Pan-cytokeratin and other epithelial markers accentuated the distinct epithelial component (Figure 6), while smooth muscle actin and CD31 immunohistochemistry highlighted the spindled, sarcomatoid regions (Figure 7).
case_images: Smooth muscle actin immunohistochemistry, demonstrating reactivity in the mesenchymal component (200x original magnification).
case_images: CRIRA2017-8135957.007.jpg
case_images: PMC5623769_01_CRIRA2017-8135957.007.jpg
case_images: fig7
case_images: Pan-cytokeratin and other epithelial markers accentuated the distinct epithelial component (Figure 6), while smooth muscle actin and CD31 immunohistochemistry highlighted the spindled, sarcomatoid regions (Figure 7).