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A 67-year-old man presented to our institution with a 1-day history of aggravated paraparesis and back pain. The physical examination showed decreased sensation to pinprick and fine touch and a 0/5 strength in bilateral lower extremities. Chest radiography showed a mass that appeared to be located in the posterior mediastinum, as well as multiple calcified mediastinal lymph nodes (figure 1A). CT of the chest revealed a paravertebral mass of soft tissue surrounding the vertebra with significant bony destruction of vertebral bodies, which extended from T5 to T6 (figure 1B). MRI demonstrated significant compression and posterior displacement of the spinal cord without infiltration of …
Contributors SL wrote the first draft of the manuscript and submitted the manuscript. XZ, AS and ZH were in charge of the patient and collected the data. SL and YL did the follow-up of the patient. YW and YL critically revised the manuscript and contributed equally to this paper. All authors approved the final version.
Funding This study was funded by National Natural Science Foundation of China (grant no: 81871746) and Peking Union Medical College Graduate Student Innovation Fund (grant no: 2018-1002-02-08).
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.