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Intramedullary spinal cord metastasis from renal cell carcinoma mimicking intramedullary hemangioblastoma

  • Shingo KomuraEmail author
  • Kei Miyamoto
  • Hideo Hosoe
  • Atsushi Iwata
  • Yoshinobu Hirose
  • Katsuji Shimizu
Up-to date Review and Case Report

Abstract

A rare case of intramedullary spinal cord metastasis from renal cell carcinoma mimicking intramedullary hemangioblastoma was described. A 57-year-old man had a nephrectomy for renal cell carcinoma in the left kidney 5 years ago, and no recurrence or metastasis was found in computed tomography and bone scintigraphy. Later, the patient was presented as having bilateral shoulder pain and severe palsy of bilateral upper and lower extremities, and a solitary tumor in the intramedullary spinal cord was found at the C4 level. Excision of the tumor was performed and the intraoperative pathological diagnosis suspected the tumor to be hemangioblastoma. However, a final pathological examination revealed characteristics consistent with metastasis of renal cell carcinoma. Although the patient’s neurological condition and neuralgia initially slightly deteriorated postoperatively, they then gradually improved. Twenty-two months after the operation, a follow-up magnetic resonance imaging showed no recurrence of intramedullary spinal cord tumor, and there were no other metastases found in other organs.

Keywords

Metastasis Intramedullary tumor Hemangioblastoma Renal cell carcinoma Surgical treatment Outcome Diagnosis 

Notes

Acknowledgment

The authors report no benefits, grants or assistance from any party.

Conflict of interest

No funds were received in support of this study.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Shingo Komura
    • 1
    Email author
  • Kei Miyamoto
    • 2
  • Hideo Hosoe
    • 1
  • Atsushi Iwata
    • 3
  • Yoshinobu Hirose
    • 4
  • Katsuji Shimizu
    • 5
  1. 1.Department of Orthopaedic SurgeryGifu Prefectural General Medical CenterGifu CityJapan
  2. 2.Department of Reconstructive Surgery for Spine, Bone, and JointGifu University Graduate School of MedicineGifuJapan
  3. 3.Department of Orthopaedic SurgeryKizawa Memorial HospitalGifuJapan
  4. 4.Department of PathologyGifu University HospitalGifuJapan
  5. 5.Department of Orthopaedic SurgeryGifu University Graduate School of MedicineGifuJapan

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