Vertebral metastasis (RCC)

Case contributed by A.Prof Frank Gaillard

Presentation

Lower limb weakness and back pain.

Patient Data

Age: 75 years
Gender: Male

Thoracolumbar MRI

Modality: MRI

MRI of the thoracolumbar spine demonstrates a very large expansile mass replacing most of the T10 vertebral body and resulting in compression of the cord with some increased cord T2 signal. 

Case Discussion

Renal cell carcinoma metastasis (this patient had a known history of RCC, and this mass was subsequently operated upon and the diagnosis confirmed) are well known to result in expansile bony metastases. In addition, these lesions are usually very vascular, and if the diagnosis is suspected preoperatively, embolisation is often helpful in reducing intraoperative blood loss. 

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Case Information

rID: 17028
Case created: 11th Mar 2012
Last edited: 6th Nov 2015
Tag: spine
Inclusion in quiz mode: Included

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