Case ReportsThoracic Disk Herniation Mimicking Spinal Mass Lesion An Illustrative Case and Review of the LiteratureOzdogan, Selcuk MD; Gergin, Yusuf E. MD; Senol, Ozgur MD; Tiryaki, Mehmet MD; Suslu, Hikmet T. MD; Tatarli, Necati MD; Hicdonmez, Tufan MDAuthor Information Neurosurgery Department,Dr. Lutfi Kirdar Kartal Research and Training Hospital, Istanbul, Turkey The authors declare no conflict of interest. Reprints: Selcuk Ozdogan, MD, Neurosurgery Department, Dr. Lutfi Kirdar Kartal Research and Training Hospital, Karaman çiftlik cad., Eston Camlievler Sitesi 15/64 içerenkoy, Atasehir, Istanbul 34000, Turkey (e-mail: email@example.com). Neurosurgery Quarterly: November 2016 - Volume 26 - Issue 4 - p 354-357 doi: 10.1097/WNQ.0000000000000194 Buy Metrics Abstract The incidence of intervertebral disk herniation in the thoracic region of the spine is very rare when compared with cervical and lumbar regions. The sequestered disk fragments mimic spinal mass lesions because of lack of noticeable clinical features. The common symptoms are unilateral radicular pain and pain radiating from the upper or middle back to the chest. The differential diagnosis includes not only diverse neoplasms but also other epidural processes such as synovial cysts, hematomas, and inflammatory lesions. Magnetic resonance imaging and computed tomography can be used for diagnosis; however, histologic examination is the exact technique. A variety of surgical approaches have been described to reach these anatomically challenging lesions. We describe a 43-year-old female patient with a sequestrated disk fragment in the thoracic spine that mimics a mass lesion of the spinal canal. We will discuss systematic diagnostic approach, differential diagnosis, and treatment modalities of these lesions. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.