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In spite of local radiotherapy to the macroscopic NM lesions in the cervical and lumbar spine followed by initiation of sunitinib, the patient succumbed to his disease 4 months after the diagnosis of NM. The untreated lung metastases progressed very slowly during almost 3 years of observation. This case illustrates important issues around both biological behaviour and treatment approaches in metastatic renal cell cancer.<\/jats:p>","DOI":"10.1186\/1477-7819-8-36","type":"journal-article","created":{"date-parts":[[2010,5,5]],"date-time":"2010-05-05T19:36:36Z","timestamp":1273088196000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Leptomeningeal carcinomatosis from renal cell cancer: treatment attempt with radiation and sunitinib (case report)"],"prefix":"10.1186","volume":"8","author":[{"given":"Astrid","family":"Dalhaug","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellinor","family":"Haukland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten","family":"Nieder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2010,5,5]]},"reference":[{"key":"675_CR1","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1177\/030089160409000316","volume":"90","author":"M Cimatti","year":"2004","unstructured":"Cimatti M, Salvati M, Caroli E, Frati A, Brogna C, Gagliardi FM: Extremely delayed cerebral metastasis from renal carcinoma: report of 4 cases and critical analysis of the literature. 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