Embolization of Renal Cell Carcinoma Skeletal Metastases Preceding Orthopedic Surgery

Document Type

Article

Publication Date

4-21-2023

Publication Title

Cureus

Abstract

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.

Volume

15

Issue

4

First Page

e37961

DOI

10.7759/cureus.37961

ISSN

2168-8184

PubMed ID

37223183

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