title: Sciatica leading to the discovery of a renal cell carcinoma.
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.
authors.affiliation: Department of Urology, Faculty of Medicine and Pharmacy, University Hospital Center Mohammed the VIth, Cadi Ayyad University of Marrakesh, Morocco.
authors.forename: Mohamed Amine
authors.initials: MA
authors.lastname: Lakmichi
authors.forename: Redouane
authors.initials: R
authors.lastname: Jarir
authors.forename: Jamal
authors.initials: J
authors.lastname: Kabour
authors.forename: Zakaria
authors.initials: Z
authors.lastname: Dahami
authors.forename: Mohamed
authors.initials: M
authors.lastname: Said Moudouni
authors.forename: Ismail
authors.initials: I
authors.lastname: Sarf
mesh_terms: D002100:Cachexia / Q000209:etiology; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000175:diagnosis / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000532:radiotherapy / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009392:Nephrectomy; D010014:Osteolysis / Q000000981:diagnostic imaging / Q000209:etiology; D010166:Palliative Care; D010292:Paresthesia / Q000209:etiology; D012585:Sciatica / Q000209:etiology*; D013115:Spinal Canal / Q000473:pathology; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000556:secondary*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed