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Pan Afr Med J ; 9: 18, 2011.
Article in English | MEDLINE | ID: mdl-22355428

ABSTRACT

Metastatic renal cell cancer is not exceptional in kidney cancer (30% of patients with kidneyl cancer). Its prognosis is particularly severe. However, sciatic neuralgia (sciatica) remains an exceptional revealing clinical sign of this disease. The authors report the case of a patient admitted with right sciatica as chief complain, leading to the discovery of a renal cell carcinoma. Although uncommon, renal cell carcinoma spine metastasis should be included in the differential diagnosis of back pain and sciatica.


Subject(s)
Carcinoma, Renal Cell/secondary , Kidney Neoplasms/diagnosis , Sciatica/etiology , Spinal Neoplasms/secondary , Thoracic Vertebrae , Cachexia/etiology , Carcinoma, Renal Cell/complications , Carcinoma, Renal Cell/diagnosis , Carcinoma, Renal Cell/radiotherapy , Carcinoma, Renal Cell/surgery , Combined Modality Therapy , Fatal Outcome , Humans , Kidney Neoplasms/complications , Kidney Neoplasms/radiotherapy , Kidney Neoplasms/surgery , Male , Middle Aged , Neoplasm Invasiveness , Nephrectomy , Osteolysis/diagnostic imaging , Osteolysis/etiology , Palliative Care , Paresthesia/etiology , Spinal Canal/pathology , Spinal Neoplasms/diagnostic imaging , Spinal Neoplasms/radiotherapy , Thoracic Vertebrae/diagnostic imaging , Thoracic Vertebrae/pathology , Tomography, X-Ray Computed
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