患者女,41岁。颈部疼痛半年,向右肩部扩散且进行性加重。无外伤史。体检:C6~7后正中及右旁压痛,右上肢浅感觉减退,肌张力较左侧略减退,双侧肌力无显著异常。实验室检查无特殊。CT平扫示C6椎体骨质破坏并相应部分软组织肿块,边界不清,跨越椎管内外生长(图1);增强扫描肿块轻中度不均匀强化,其内见多条供血血管,脊 Female patient, 41 years old. Neck pain for six months, spread to the right shoulder and progressive increase. No history of trauma. Physical examination: After C6 ~ 7 middle and right side of the tenderness, shallow right upper extremity decreased, muscle tension slightly less than the left, bilateral muscle strength no significant abnormalities. No special laboratory test. CT plain scan showed C6 vertebral bone destruction and the corresponding part of the soft tissue mass, the boundary is unclear, across the growth of the spinal canal inside and outside (Figure 1); enhanced scan mass slightly uneven enhancement, which see a number of blood vessels, ridges