case_images: PMC3461777_01
case_images: (a) Preoperative photo of the patient. (b) Photo showing tumor arising from the lateral thoracic nerve. (c) Photo showing lateral thoracic meningoceles. (d) Postoperative photo of the patient
case_images: JSTCR-4-39-g001.jpg
case_images: PMC3461777_01_JSTCR-4-39-g001.jpg
case_images: F1
case_images: There was winging of the scapula indicating the involvement of the lateral thoracic nerve [Figure 1a]. The nerve along with the mass was excised [Figures 1b and 4a & b]. The meningoceles were dissected till their openings into the defects and then the defects were repaired with a G-patch (artificial dural graft; Figures 1c and 4c).
case_images: X-Ray of the chest showing meningoceles as a mass lesion
case_images: JSTCR-4-39-g002.jpg
case_images: PMC3461777_01_JSTCR-4-39-g002.jpg
case_images: F2
case_images: (a) CT scan of the tumor. (b) MRI showing both the tumor and the meningoceles. (c) CT scan showing lateral meningocele with a spinal defect and the tumor. (d) MRI lateral view showing the meningoceles
case_images: JSTCR-4-39-g003.jpg
case_images: PMC3461777_01_JSTCR-4-39-g003.jpg
case_images: F3
case_images: A cystic lesion of about 8x5 cm size was also seen in the right intrathoracic paraspinal region [Figure 3a and c]. T2 hyperintense space-occupying lesions in the right paravertebral region from D1-2 to D7-8 levels which appeared lobulated and septated with well-defined walls, contiguous with each other, and extending into the spinal canal via large neural foramina. There was no internal enhancement on the postcontrast study suggestive of thoracic meningoceles/duralectasia [Figure 3b and d].
case_images: (a) Intraoperative photo while raising skin flaps. (b) Tumor with the lateral thoracic nerve excised in TOTO. (c) Repair of meningocele defects being done with a G-patch (artificial dural patch)
case_images: JSTCR-4-39-g004.jpg
case_images: PMC3461777_01_JSTCR-4-39-g004.jpg
case_images: F4
case_images: The nerve along with the mass was excised [Figures 1b and 4a & b]. The meningoceles were dissected till their openings into the defects and then the defects were repaired with a G-patch (artificial dural graft; Figures 1c and 4c).
case_images: (a) Histopathology scanner view (x4) showing tumor with areas of necrosis. (b) Histopathology photographic view (x10) showing tumor cells arranged in fascicles with nuclear pleomorphism
case_images: JSTCR-4-39-g005.jpg
case_images: PMC3461777_01_JSTCR-4-39-g005.jpg
case_images: F5
case_images: IHC positive for vimentin
case_images: JSTCR-4-39-g006.jpg
case_images: PMC3461777_01_JSTCR-4-39-g006.jpg
case_images: F6
case_images: Diagnosis of the MPNST was confirmed [Figure 6].