17.5 Conclusion
In conclusion, osseous metastases from renal cell carcinoma are characterized by mainly osteolytic lesions in the metaphysis of, most commonly, the spine, pelvic bone, ribs, and proximal long bones with cortical involvement. Solitary lesions with septa are not uncommon. Both CT and MR imaging may help in defining the extent of the lesion and presence of a periosteal soft tissue mass. The presence of “flow-void” sign on MR imaging may suggest the primary origin of a metastatic bone lesion and also suggest its hypervascular nature, which may also be confirmed by angiography. Bone scanning is still used in detection of metastasis and may help in localization.
Although a rare entity, clear cell sarcoma of the kidney in children metastasizes to the bone readily and is characterized by osteolytic lesions, which may be the first manifestation of a clinically occult tumor.
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Keywords
- Renal Cell Carcinoma
- Bone Metastasis
- Metastatic Renal Cell Carcinoma
- Osteolytic Lesion
- Skeletal Metastasis
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Sik Kang, H., Ah Choi, J. (2006). Imaging of Bone Metastases. In: Guermazi, A. (eds) Imaging of Kidney Cancer. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30003-1_17
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