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Intramedullary spinal cord metastasis in renal cell carcinoma: a case report of the surgical experience.

Authors
Park, J; Chung, SW; Kim, KT; Cho, DC; Hwang, JH; Sung, JK; Lee, D
Citation
Journal of Korean medical science, 28(8):1253-1256, 2013
Journal Title
Journal of Korean medical science
ISSN
1011-89341598-6357
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.
MeSH terms
AdultCarcinoma, Renal Cell/*diagnosis/pathology/surgeryHumansImmunohistochemistryKeratins/metabolismMagnetic Resonance ImagingMaleMotor Activity/physiologySpinal Cord Neoplasms/pathology/secondary/*surgeryTomography, X-Ray ComputedTreatment OutcomeVimentin/metabolism
DOI
10.3346/jkms.2013.28.8.1253
PMID
23960457
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Journal Papers > School of Medicine / Graduate School of Medicine > Pathology
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