Vertebral metastasis (RCC)

Case contributed by Frank Gaillard


Lower limb weakness and back pain.

Patient Data

Age: 75 years
Gender: Male

Thoracolumbar 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, embolization is often helpful in reducing intraoperative blood loss. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.