Turkish Journal of Physical Medicine and Rehabilitation , Vol , Num
Renal Cell Carcinoma Concomitant with Lumbar Radiculopathy in a 75-Year-Old Woman Presenting with Low Back Pai
Esra Erkol İnal 1 ,Mahmut Yener 2 ,Azize Çetintürk 1 ,Salih İnal 3 ,Alim Koşar 4 ,Serpil Savaş 5
1 Department of Physical Medicine And Rehabilitation, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
2 Department of Nephrology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
3 Department of Urology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
DOI : 10.5152/tftrd.2015.32033

Renal cell carcinoma (RCC) is the most common primary malignancy of the kidney. Here, we reported a 75-year-old female patient who was admitted to the hospital with chronic low back pain radiating to both legs with numbness. After lumbar magnetic resonance imaging reported findings such as left paracentral disc protrusion at the level of L1-2, left paracentral foraminal disc protrusion at the level of L4-5, and diffuse annular bulging at the levels of L3-4 and L5-S1 with bilateral narrowing of the neural foramina, we started physical therapy with a diagnosis of lumbar radiculopathy. During her follow up, renal ultrasonography (US) was performed because of slightly high persisting creatinine levels. Renal US reported a renal mass that includes necrotic regions. Finally, she was diagnosed with non-metastatic RCC. Her pain substantially disappeared after she underwent radical nephrectomy.

 


 

Turkish

 

Başlık: 75 Yaşındaki Bir Hastada Bel Ağrısı Nedeni: Renal Hücreli Karsinom ve Lomber Radikülopati Birlikteliği

 

Anahtar kelimeler: Renal hücreli kanser, bel ağrısı, radikülopati, fizik tedavi

 

Renal hücreli karsinom (RHK), böbreğin en sık görülen kanseridir. Biz burada, hastaneye belden her iki bacağa vuran ağrı şikayeti ile başvuran 75 yaşında bir kadın hastadan bahsedeceğiz. Lomber manyetik rezonans görüntülemesi ‘L1-2 seviyesinde sol parasantral disk protrüzyonu, L4-5 seviyesinde sol parasantral foraminal disk protrüzyonu, L3-4 ve L5-S1 seviyelerinde nöral foramenlerde bilateral daralma ile birlikte diffüz anüler bulging mevcuttur.’ şeklinde raporlandıktan sonra lomber radikülopati teşhisi ile fizik tedavi başladık. Takibinde devam eden hafif derecede kreatinin yüksekliği nedeniyle renal ultrasonografi yapıldı. Ultrasonografide renal kitle görülen hastaya nihayetinde non metastazik RHK teşhisi konuldu. Radikal nefrektomi sonrasında hastanın ağrıları büyük oranda geriledi.   

Keywords : Renal cell carcinoma, low back pain, radiculopathy, physical therapy