title: Intramedullary spinal cord metastasis in renal cell carcinoma: a case report of the surgical experience.
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.
authors: Department of Neurosurgery, Kyungpook National University Hospital, Daegu, Korea.
authors: Jeongill
authors: J
authors: Park
authors: Seok-Won
authors: SW
authors: Chung
authors: Kyoung-Tae
authors: KT
authors: Kim
authors: Dae-Chul
authors: DC
authors: Cho
authors: Jeong-Hyun
authors: JH
authors: Hwang
authors: Joo-Kyung
authors: JK
authors: Sung
authors: Dakeun
authors: D
authors: Lee
mesh_terms: D000328:Adult; D002292:Carcinoma, Renal Cell / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D007633:Keratins / Q000378:metabolism; D008279:Magnetic Resonance Imaging; D008297:Male; D009043:Motor Activity / Q000502:physiology; D013120:Spinal Cord Neoplasms / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014746:Vimentin / Q000378:metabolism
chemical_list: D014746:Vimentin; D007633:Keratins
keywords: Intramedullary Spinal Cord Neoplasm; Metastasis; Renal Cell Carcinoma
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