Fig. 1

Multiple metastases were demonstrated by a positron emission computed tomography scan at the erector spinae area adjoining T7–T8 vertebral column (A), cervical site (B), the left iliac bone (C), and the retroperitoneal and pelvic lymph nodes (D). Hematoxylin and eosin stain for histopathology of the cervical biopsy indicated poorly differentiated squamous cell carcinoma (E, F). The area circled in D represents “Anterior sacral and left paravascular iliac metastatic lymph nodes”