Unusual Malignant Thoracic Cystic Lesion

Mayur Sharma, Fabian C. Madrigal, Thomas Altstadt

Research output: Contribution to journalArticlepeer-review


Malignant cystic lesions in the spine are rare. In this report, we present a 65-year-old man who presented with imbalance on walking of 1-week duration with intact motor examination. Magnetic resonance imaging of the thoracic spine showed large expansile, T2-hyperintense mass involving T8 vertebral body, replacing the posterior elements causing cord compression with associated edema. He underwent uneventful T8 corpectomy, placement of expandable interbody cage, and T5-T11 posterolateral fusion using bilateral transpedicular approach. However, he died 5 months later due to progression of moderately differentiated metastatic lung cancer. To our knowledge, this is the first report showing the near-complete replacement of vertebral body and posterior elements with a malignant cystic lesion.

Original languageEnglish (US)
Pages (from-to)423-425
Number of pages3
JournalWorld neurosurgery
StatePublished - Jul 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 Elsevier Inc.


  • Cystic
  • Metastasis
  • Spine
  • Thoracic


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