Case records of the Massachusetts General Hospital. Case 25-2011. A 62-year-old woman with anemia and paraspinal masses.

摘要

Dr. Elizabeth L. Courville (Pathology): A 62-year-old woman was seen in the outpatient cancer center of this hospital because of anemia and paraspinal masses.The patient was in her usual state of health, with a history of asthma, until 8 months before this evaluation, when exertional dyspnea, shortness of breath, and fatigue developed. She went to the emergency department at another hospital. A chest radiograph reportedly showed a paraspinal mass in the right lower thorax. Two months later, a repeat chest radiograph showed clear lung fields; the paraspinal mass was unchanged. The next week, computed tomography (CT) of the chest reportedly revealed a well-marginated paraspinal mass (3 cm by 5 cm by 5 cm) on the right, extending from the T9 vertebral body to the Til, with no extension into or widening of the neural foramina and no expansion or cortical erosion of the ribs or vertebral bodies.