Embolization of Renal Cell Carcinoma Skeletal Metastases Preceding Orthopedic Surgery

Renal cell carcinoma (RCC) is the most common type of renal malignancy in adults. Bone is a major site of metastatic disease from RCC. Osseous metastatic disease from RCC is often seen in the spine, pelvis, and femur, and is usually hypervascular in nature like its primary tumor source. This can cau...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-04, Vol.15 (4), p.e37961
Main Authors: Amado, Adam A, Chahrour, Hussein, Hindi, Hussam, Sankaran, Priya, Harb, Ali
Format: Article
Language:English
Subjects:
Biopsy
Blood
Blood transfusions
Bone surgery
Catheters
Embolization
Fractures
Hematoma
Hemoglobin
Kidney cancer
Medical imaging
Metastasis
Mortality
Orthopedics
Pain
Patients
Radiology
Scintigraphy
Tomography
Veins & arteries
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Summary:Renal cell carcinoma (RCC) is the most common type of renal malignancy in adults. Bone is a major site of metastatic disease from RCC. Osseous metastatic disease from RCC is often seen in the spine, pelvis, and femur, and is usually hypervascular in nature like its primary tumor source. This can cause significant pain, reduced function, pathological fracture, nerve compression, and decreased quality of life during cancer treatment and disease course. Surgical treatments for pathological fracture of the femur include resection, reconstruction, and stabilization with arthroplasty or placement of an intramedullary nail. This series looks at three cases of renal cell carcinoma metastases to the hip with pre-procedural embolization and orthopedic stabilization. Interventional radiology embolization of the arterial supply to the metastatic hypervascular bone lesions can reduce intraoperative blood loss and associated complications.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.37961