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XRMusculoskeletalConfirmedFRCR 2B
Vertebral metastases from renal cell carcinoma
Clinical Presentation
A 65-year-old male presents with insidious, progressive bone pain waking them from sleep, accompanied by localized palpable swelling and constitutional symptoms.
- 1Compression fractures T11 and L3 vertebral bodies associated with lytic lesions.Surgical clips (left nephrectomy)
- 2Lytic lesion of L3 vertebral body with pathological fracture, and posterior extraosseous tumor which compresses the thecal sac.T11 vertebral body and pedicle metastasis
- 3CT 4 years previous - L3 lesion not present, T11 lesion similar
- 4L3 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
- 5Post-operative radiograph: L2-L4 instrumented fusion, L3 laminectomy.