CASE 16: Renal Cell Cancer Pelvic Metastasis

• 54-year-old male patient
• He has a history of surgery for kidney cancer and is on targeted therapy.
• There are known bone metastases.
• The pain in both hips, present for 5 months, has gradually worsened and made walking difficult.
• The procedure, which involved removing the tumor from the pelvic bone and filling the resulting cavity with bone cement, then reinforcing it with a titanium plate, was successfully performed on a patient who did not benefit from radiotherapy.
• The patient experienced no problems during or after the surgery and was safely discharged after being able to walk.

Before the surgery: Pelvic X-ray shows multiple metastatic foci, CT scan reveals significant damage and fractures, and angiography shows intense blood flow in the metastatic foci.

During the operation: The procedure involves filling the cavity created after tumor removal with bone cement and reinforcing it with a titanium plate.

Postoperative: After the tumor is removed, the resulting cavity is filled with bone cement and reinforced with a titanium plate, and wound healing is observed.