Intramedullary spinal cord metastasis from renal cell carcinoma: detection by positron emission tomography.

Abstract:

:Although positron emission tomography (PET) is an established diagnostic method in brain and lung cancer, its use is often confined to research. The authors report a case of a minimally symptomatic intramedullary spinal cord metastasis, an uncommon and often diagnostically challenging lesion, that was confirmed by PET. A 37-year-old man with a history of metastatic renal cell carcinoma treated with systemic agents, an autologous stem cell transplant, and local palliative radiotherapy with a 2-month history of vague right foot numbness and right leg dysesthesias was found to have an intramedullary lesion at the level of T12. Although the findings of magnetic resonance imaging suggested central necrosis, a PET scan revealed a metabolically active lesion and confirmed the diagnosis of intramedullary metastasis. PET can be used to detect and confirm intramedullary spinal cord metastatic carcinoma. PET imaging may have a vital role in clinical diagnosis by helping to distinguish diagnostically troublesome lesions based on metabolic activity.

journal_name

Clin Nucl Med

authors

Poggi MM,Patronas N,Buttman JA,Hewitt SM,Fuller B

doi

10.1097/00003072-200110000-00006

keywords:

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

837-9

issue

10

eissn

0363-9762

issn

1536-0229

journal_volume

26

pub_type

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