Metastatic Disease - Renal Cell Carcinoma

A 63 year-old man with presented with a two month history of mid-back pain followed by rapidly progressive paraplegia and incontinence over 24 hours. He had a history of a nephrectomy years earlier for renal cell carcinoma.

Outline the Tumor

T2-weighted MRI Scans of the Thoracic Spine: (Left) mid-sagittal; (Right) right parasagittal. Note the large tumor arising from the posterior bony elements at  T6 that is compressing the thoracic spinal cord. Decompression and biopsy demonstrated renal cell carcinoma.

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