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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: INTRODUCTION, CASE PRESENTATION. Meshes: Carcinoma, Renal Cell, Embolization, Therapeutic, Female, Humans, Intraoperative Complications, Kidney, Kidney Neoplasms, Middle Aged, Preoperative Care, Radiation Dosage, Radiography, Radiosurgery, Skull Neoplasms.
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Preoperative stereotactic body radiotherapy to a skull renal cell metastasis: an alternative to preoperative embolization? Context: This is the first case study to report on using stereotactic body radiotherapy as an alternative and novel treatment modality for embolization to reduce the risk of operative bleeding for a metastatic renal cell tumor. A 58-year-old woman presented with an asymptomatic large 7-cm tumor on the parieto-occipital vertex of the skull. Given the location of this lesion along with its vascular histology, it was a challenge to provide safe and effective treatment using conventional management strategies.
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We report on a rare presentation of a metastatic renal cell cancer and the use of stereotactic body radiotherapy as an innovative radiation approach to deliver high-dose radiation safely to control this large aggressive and vascular metastasis. The success of this management strategy allowed for minimal intraoperative blood loss, and the patient continues with local control 1-year posttreatment.