case_images: PMC11090574_01
case_images: Preoperative sagittal (a) and axial (b) T2-weighted MRI scans revealed the right-sided tumor mass lesion at the levels of C5 and C6. Arrows point to the primary tumor site on both images.
case_images: SNI-15-128-g001.jpg
case_images: PMC11090574_01_SNI-15-128-g001.jpg
case_images: F1
case_images: She underwent posterior surgical resection of the right-sided C5 laminar/C5- C6 bony foraminal lesion documented by magnetic resonance imaging (MRI) that proved to be a LMS metastasis [Figure 1].
case_images: (a) x10 magnification - Hematoxylin and eosin staining: Spindle-shaped cells with moderate nuclear pleomorphism, with area of necrosis, (b) x10 magnification - Immunohistochemical staining, diffuse smooth muscle actin, positivity in tumor cells, and (c) x5 magnification - hematoxylin and eosin staining, tumor infiltration, and destruction of the bone.
case_images: SNI-15-128-g002.jpg
case_images: PMC11090574_01_SNI-15-128-g002.jpg
case_images: F2
case_images: Immunostained slides and histological findings revealed atypical, polymorphic spindle cells with numerous mitoses and smaller foci of necrosis; cells were immunohistochemically positive for smooth muscle actin, muscle-specific actin, and desmin; marker CD34 was negative [Figure 2].
case_images: Postoperative sagittal (a) and axial (b) MRI T2-weighted scans one month after surgery revealed a complete tumor removal.
case_images: SNI-15-128-g003.jpg
case_images: PMC11090574_01_SNI-15-128-g003.jpg
case_images: F3
case_images: Postoperative cervical MRI scans revealed no tumor recurrence 1 and 6 months postoperatively [Figures 3-5].
case_images: Postoperative sagittal (a) and axial (b) MRI T2-weighted scans six months after surgery revealed a complete tumor removal, no tumor remnants and recurrences.
case_images: SNI-15-128-g004.jpg
case_images: PMC11090574_01_SNI-15-128-g004.jpg
case_images: F4
case_images: Postoperative cervical MRI scans revealed no tumor recurrence 1 and 6 months postoperatively [Figures 3-5].
case_images: Postoperative sagittal (a) and axial (b) MRI T2-wighted scans a year after surgery revealed tumor recurrence at the previous surgical site. Arrows depict sites of tumor recurrence on both images.
case_images: SNI-15-128-g005.jpg
case_images: PMC11090574_01_SNI-15-128-g005.jpg
case_images: F5
case_images: Postoperative cervical MRI scans revealed no tumor recurrence 1 and 6 months postoperatively [Figures 3-5].