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Pan Afr Med J. 2011;9:18. Epub 2011 Jun 10.

Sciatica leading to the discovery of a renal cell carcinoma.

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Department of Urology, Faculty of Medicine and Pharmacy, University Hospital Center Mohammed the VIth, Cadi Ayyad University of Marrakesh, Morocco.


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.


Renal carcinoma; cytoreductive nephrectomy; kidney cancer; metastatic renal cell cancer

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