Intradural cauda equina metastasis of renal cell carcinoma

A case report with literature review of 10 cases

Gyu Yeul Ji, Chang Hyun Oh, SeHoon Kim, DongAh Shin, Keung Nyun Kim

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

STUDY DESIGN.: Case report with literature review. OBJECTIVE.: To describe a rare case of intradural spinal metastasis from renal cell carcinoma (RCC) spread to the cauda equina, and to discuss the clinical features of metastatic RCC in the cauda equina from the data available in the literature. SUMMARY OF BACKGROUND DATA.: Intradural spinal metastasis is rare, representing 6% of all spinal metastasis. Indeed, intradural metastasis from a RCC to the cauda equina is extremely rare with previously only 9 case reports. METHODS.: A 68-year-old male presented with a 2-month history of worsening lower back pain radiating to both legs. The patient had undergone nephrectomy for the treatment of the clear cell RCC 16 years before admission. Magnetic resonance imaging showed a well-defined intradural extramedullary mass in the cauda equina at T12 to L1. RESULTS.: The pathological examination displayed metastatic clear cell RCC. Additional imaging studies showed no metastatic in other locations. The patient was discharged without neurological deficit and pain after the operation, and maintained an optimal condition for 2 years. CONCLUSION.: When a lesion of the cauda equina presents, intradural metastasis should be in the differential diagnosis in patients who had been previously treated for RCC although any other metastatic lesion was not observed.

Original languageEnglish
JournalSpine
Volume38
Issue number18
DOIs
Publication statusPublished - 2013 Aug 15

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Cauda Equina
Renal Cell Carcinoma
Neoplasm Metastasis
Low Back Pain
Nephrectomy
Leg
Differential Diagnosis
Magnetic Resonance Imaging
Pain

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

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title = "Intradural cauda equina metastasis of renal cell carcinoma: A case report with literature review of 10 cases",
abstract = "STUDY DESIGN.: Case report with literature review. OBJECTIVE.: To describe a rare case of intradural spinal metastasis from renal cell carcinoma (RCC) spread to the cauda equina, and to discuss the clinical features of metastatic RCC in the cauda equina from the data available in the literature. SUMMARY OF BACKGROUND DATA.: Intradural spinal metastasis is rare, representing 6{\%} of all spinal metastasis. Indeed, intradural metastasis from a RCC to the cauda equina is extremely rare with previously only 9 case reports. METHODS.: A 68-year-old male presented with a 2-month history of worsening lower back pain radiating to both legs. The patient had undergone nephrectomy for the treatment of the clear cell RCC 16 years before admission. Magnetic resonance imaging showed a well-defined intradural extramedullary mass in the cauda equina at T12 to L1. RESULTS.: The pathological examination displayed metastatic clear cell RCC. Additional imaging studies showed no metastatic in other locations. The patient was discharged without neurological deficit and pain after the operation, and maintained an optimal condition for 2 years. CONCLUSION.: When a lesion of the cauda equina presents, intradural metastasis should be in the differential diagnosis in patients who had been previously treated for RCC although any other metastatic lesion was not observed.",
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Intradural cauda equina metastasis of renal cell carcinoma : A case report with literature review of 10 cases. / Ji, Gyu Yeul; Oh, Chang Hyun; Kim, SeHoon; Shin, DongAh; Kim, Keung Nyun.

In: Spine, Vol. 38, No. 18, 15.08.2013.

Research output: Contribution to journalArticle

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