Abstract
Spinal nerve root metastasis of renal cell carcinoma is a rare occurrence. In addition
to treatment of the primary lesion, surgical resection of the nerve root metastasis,
occasionally with sacrifice of the involved nerve, is the accepted standard of treatment.
Resection often resolves presenting motor and pain symptoms due to relief of neural
compression. We describe two patients with nerve root metastasis of renal cell carcinoma
and their management. While locally advanced and metastatic renal cell carcinoma has
been shown to be chemo- and radio-resistant, immunotherapy is a promising treatment.
Given the high prevalence of systemic disease in patients with intradural metastases,
systemic (and possibly intracranial) imaging can be used to identify other potential
areas of disease.
Keywords
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Article info
Publication history
Accepted:
February 19,
2013
Received:
February 11,
2013
Identification
Copyright
© 2013 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
