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FIG 4. Axial CT images. A, Transpedicular approach to a T6 lytic lesion in a patient without a prior cancer history. Cytologic and histologic findings revealed numerous plasma cells compatible with plasma cell neoplasm-plasmacytoma.
B, Transcostovertebral approach to a T8 lytic lesion in a patient with a history papillary thyroid cancer. Biopsy confirmed metastatic thyroid cancer.
C, Paraspinal approach to a mixed L3 lytic-sclerotic lesion in a patient with breast cancer. Biopsy showed adenocarcinoma consistent with a mammary origin.
D, Anterolateral approach to a C5 lytic lesion in a patient with a history of gastric cancer. Cytology was compatible with metastatic gastric carcinoma.
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