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Imaging of Bone Metastases

  • Chapter
Imaging of Kidney Cancer

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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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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Authors and Affiliations

  1. Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 300 Gumi-dong, Bundang-gu, Seong Nam, Gyeonggi-Do, 463-707, South Korea

    Heung Sik Kang MD, PhD (Professor, President)

  2. Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 300 Gumi-dong, Bundang-gu, Seong Nam, Gyeonggi-Do, 463-707, South Korea

    Jung Ah Choi MD, PhD (Instructor)

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  1. Heung Sik Kang MD, PhD
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  2. Jung Ah Choi MD, PhD
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Editors and Affiliations

  1. Oncology Services Department of Radiology Services, Synarc Inc., 575 Market Street, 17th Floor, San Francisco, CA, 94105, USA

    Ali Guermazi MD (Senior Radiologist, Scientific Director) (Senior Radiologist, Scientific Director)

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© 2006 Springer-Verlag Berlin Heidelberg

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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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  • DOI: https://doi.org/10.1007/3-540-30003-1_17

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