Clinical Features: A 44-year-old man presented to a chiropractic clinic with chronic low back pain. Lumbar spine radiographs and follow-up computed tomography scan revealed renal calcification, which was first thought to be calcified hematoma, but later, biopsy confirmed that it was RCC.
Intervention and Outcome: A nephrectomy was performed. At 7-year follow-up, the patient is healthy.
Conclusion: Renal cell carcinoma is not uncommon, and its varied clinical presentation may lead individuals to seek a variety of health care providers. Spine practitioners should be aware of the possibility of RCC in the clinical presentation of low back pain.
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