Intramedullary Spinal Cord Metastasis in Renal Cell Carcinoma: A Case Report of the Surgical Experience.
10.3346/jkms.2013.28.8.1253
- Author:
Jeongill PARK
1
;
Seok Won CHUNG
;
Kyoung Tae KIM
;
Dae Chul CHO
;
Jeong Hyun HWANG
;
Joo Kyung SUNG
;
Dakeun LEE
Author Information
1. Department of Neurosurgery, Kyungpook National University Hospital, Daegu, Korea. neurochung79@gmail.com
- Publication Type:Case Reports
- Keywords:
Intramedullary Spinal Cord Neoplasm;
Metastasis;
Renal Cell Carcinoma
- MeSH:
Adult;
Carcinoma, Renal Cell/*diagnosis/pathology/surgery;
Humans;
Immunohistochemistry;
Keratins/metabolism;
Magnetic Resonance Imaging;
Male;
Motor Activity/physiology;
Spinal Cord Neoplasms/pathology/secondary/*surgery;
Tomography, X-Ray Computed;
Treatment Outcome;
Vimentin/metabolism
- From:Journal of Korean Medical Science
2013;28(8):1253-1256
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intramedullary spinal cord metastasis (ISCM) from renal cell carcinoma (RCC) is rare manifestation and most of them are treated by adjuvant treatment modalities like radiotherapy. Despite the radio-resistance of RCC itself, focal radiotherapy has been preferred as the first-line treatment modality of ISCM from RCC and only a few cases underwent surgical treatment. We describe a case of ISCM from RCC, which underwent surgical excision and pathologically confirmed. A 44-yr-old man was presented with rapid deterioration of motor weakness during focal radiotherapy for ISCM from RCC. After the surgery for removal of the tumor mass and spinal cord decompression, his motor power was dramatically improved to ambulate by himself. We report the first published Korean case of ISCM from RCC confirmed pathologically and describe our surgical experience and his clinical characteristics.
