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. 2023 Oct 2;13:1242552. doi: 10.3389/fonc.2023.1242552

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Copyright © 2023 Shang, Zhang, Liu, Wu, Zhang and Xiao

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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MRI examination of the cervical vertebra of the patient on January 20, 2022. (A) shows slope, C4, T1 vertebrae, and ancillary multiple bony lesions with pathologic fracture of the C4 vertebrae. (B) shows a 1.49 mm ×1.54 mm mass (indicated by the arrow) near the C4 cone, and the C4 vertebral body is compressed and flattened and shows pathological fracture. (C) The sternum is fractured, and there is a 37.41 mm × 31.14 mm soft tissue mass (indicated by the arrow). On March 19, after receiving two courses of chemotherapy, the patient showed destruction of multiple bones and a cervical spine fracture on MRI (D–F). In part (E), the C4 paravertebral mass is significantly reduced (indicated by the arrow). In part (F), the soft tissue mass causing the sternum bone fracture is essentially undetectable.