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KMID : 0191120130280081253
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Journal of Korean Medical Science
2013 Volume.28 No. 8 p.1253 ~ p.1256
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Intramedullary Spinal Cord Metastasis in Renal Cell Carcinoma: A Case Report of the Surgical Experience
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Park Jeong-Ill
Chung Seok-Won
Kim Kyoung-Tae
Cho Dae-Chul
Hwang Jeong-Hyun
Sung Joo-Kyung
Lee Da-keun
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Abstract
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Intramedullary spinal cord metastasis (ISCM) from renal cell carcinoma (RCC) is rare manifestation and most of them are treated by adjuvant treatment modalities like radiotherapy. Despite the radio-resistance of RCC itself, focal radiotherapy has been preferred as the first-line treatment modality of ISCM from RCC and only a few cases underwent surgical treatment. We describe a case of ISCM from RCC, which underwent surgical excision and pathologically confirmed. A 44-yr-old man was presented with rapid deterioration of motor weakness during focal radiotherapy for ISCM from RCC. After the surgery for removal of the tumor mass and spinal cord decompression, his motor power was dramatically improved to ambulate by himself. We report the first published Korean case of ISCM from RCC confirmed pathologically and describe our surgical experience and his clinical characteristics.
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KEYWORD
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Intramedullary Spinal Cord Neoplasm, Metastasis, Renal Cell Carcinoma
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