Malignant melanoma of rectum with extensive vertebral metastasis

Case contributed by Dr Saeed Soltany Hosn

Presentation

Known case of malignant melanoma of rectum presented with paraplegia.

Patient Data

Age: 35
Gender: Male

Multiple space occupying lytic lesion are seen at visible vertebrae wich show enhancement on post contrast images.One of the lesions at L3 vertebrae has a large soft tissue component and invade into the right psoas muscle.Expansion of the same vertebral body causes anterior indentation of thecal sac and canal narrowing. Metastasis is the most likely diagnosis. 

Case Discussion

Multiple space occupying  lytic lesion are seen at visible vertebrae wich show enhancement on post contrast images.One of the lesions at L3 vertebrae has a large soft tissue component and invade into the right psoas muscle.Expansion of the same vertebral body causes anterior indentation of thecal sac and canal narrowing. Metastasis is the most likely diagnosis. 

Case is from Dr Mohamadhosein Daghighi- Professor, Department of radiology at Tabriz University of Medical Science

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Case information

rID: 20800
Case created: 13th Dec 2012
Last edited: 13th Nov 2016
Inclusion in quiz mode: Included

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