Vertebral metastases from renal cell carcinoma

Case contributed by Dr Brendon Friesen

Patient Data

Age: 65
Gender: Male

Compression fractures T11 and L3 vertebral bodies associated with lytic lesions.

Surgical clips (left nephrectomy).

Lytic lesion L3 vertebral body with pathological fracture, and posterior extraosseous tumor which compresses the thecal sac.

T11 vertebral body and pedicle metastasis.

CT 4 years previous - L3 lesion not present, T11 lesion similar.

L3 vertebral body pathological fracture and extraosseous epidural enhancing tumor, which compresses the thecal sac.

Old (quiescent) T11 metastasis.

Lower thoracic and upper lumbar post-radiotherapy fatty marrow changes.

Post-operative radiograph: L2-L4 instrumented fusion, L3 laminectomy.

Case Discussion

L3 vertebral metastasis from renal cell carcinoma (histologically proven).

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Case information

rID: 29318
Published: 5th Jul 2014
Last edited: 14th Aug 2019
System: Spine
Inclusion in quiz mode: Included

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