Review Article

Intramedullary Spinal Cord Metastasis from Renal Cell Carcinoma: A Systematic Review of the Literature

Table 1

Case reports of ISCM from RCC.

Author Age/
sex
LocationRCC locationDiagnosisContrast enhancement of MRITime from diagnosis of RCC to ISCM (months)Other RCC metastasisTreatmentOutcomeSurvival after diagnosis of ISCM (months)

Schijns et al.70/FC7leftMRIyes0liver, contralateral kidneysurgeryimproved>12m
Poggi et al.37/MT12rightMRI, PETyes3lung, bone, brainradiationunknownunknown
Fakih et al.56/MC4rightMRIunknown0lung, brainradiationimproved6m
Fakih et al.60/MT2rightMRIunknown180lung, brainsurgery+radiationimproved5m
Fakih et al.68/FL1-myelography-2-radiationimproved16m
Fakih et al.57/FC7-MRIyes0lung, brainradiationimproved5m
Fakih et al.46/MT5rightMRIyes2lung, brainradiation+cis-retinoic+α-interferonimproved4m
Fakih et al.37/FC2bilateralMRIunknown25lungsurgeryimproved12m
Kaya et al.43/ML1leftMRIyes12systemic organ metastasissurgeryimproved6m
Altinoz et al.43/MT6-7bilateralMRIunknown26lung, adrenal gland, brainsurgeryimproved>25m
Donovan et al.41/FC4rightMRIyes0multiple bonessurgeryprogressed6m
Asadi et al.51/FL1leftMRIno0brain, multiple bones-unknownunknown
Parikh et al.50/MC5rightMRIyes6brainradiation transformed into stereotactic radiosurgeryimproved>28m
Zakaria et al.62/MC7rightMRIyes1lungsurgeryimproved3m
Park et al.44/MT12leftMRIyes6lungradiation transformed into surgeryimproved>8m
Gao et al.51/MT4-5leftMRIyes72-surgeryimproved>3m
Present case58/MT12rightMRIyes34lungsurgery+radiationimproved>6m

NE: nephrectomy; CH: chemotherapy; IL-2: interleukin-2; INF: interferon; MT: molecular target; IM: immunotherapy; PS: pulmonary surgery; BS: brain surgery; BR: brain radiation; BOA: bone radiation; AMM: antigen-modulated mini-stem cell transplant.