The authors report an unusual case of a 67-year-old man without urinary symptoms, with facial neoplasm. After biopsy, histological findings revealed a clear cell metastasis from renal carcinoma. Intravenous pyelography plus abdominal and brain CT scan were therefore performed, revealing renal cancer with widespread metastasis, making surgery impossible. Given the peculiarity of this case, the authors also give data from international literature which show that this type of first manifestation of renal carcinoma is very uncommon.
Al KassabB.M., FosterM.E.: Recurrent facial metastasis from renal cell carcinoma: review of the literature and case report. J. Oral. Maxillofac. Surg., 53 (1), 1995.
2.
CongiuA., NicolosiA., MallociA., PigaA., CaloP.G., MurtasM.G.: Metastasi tiroidea e cutanea isolata da carcinoma renale. Minerva Chir., 49 (3), 1994.
3.
FurukawaA., KandaK., YokozekiH., MaebayashiK., KagawaS.: A case of erythropoietin producing renal cell carcinoma with a skin metastasis. Nippon - Hinyokika - Gakkai - Zasshi, 83 (2), 1992.
4.
KarukiT., TakahashiS., MorohashiM., MaruyanaT., IdaM.: Cutaneous metastasis of renal cell carcinoma: an electron microscopic study. J. Dermatol., 18 (4), 1991.
5.
LewkoW.M., GoodR.W., BowmanD., SmithT.L., OldhamR.K.: Growth of tumour derived activated T -cells for the treatment of cancer. Cancer - Biother.9 (3), 1994.
6.
KoikeH., YoshimotoT., TakiuchiH., TharaH., AnimaM., MoriY., IkomaF.: A case of spontaneous disappearance of pulmonary metastasis of renal cell carcinoma following nephrectomy. Hinyokika - Kiyo, 36 (12), 1990.
7.
KouropakisD., PatseaE., SofrasF., ApostolikasN.: Renal cell carcinoma metastasis to the skin: a not so rare case?Br. J. Urol., 75 (5), 1995.
8.
Paez-BordaA., Nacarino-CorbachoL., Diego-GarciaA., Prieto-ChaparroL., Delgrado-MartinDelgrado-MartinJ.A., Salinas-CasadoJ., Silmi-MoyanoA., Resel-EsteverezL.: Cutaneous and gynecologic metastasis disclosing renal cell carcinoma: the diagnostic and therapeutic indication. Arch. Esp. Urol., 45 (4), 1992.
9.
SalehH., MasoodS., WynnG., AssafN.: Unsuspected metastatic renal cell carcinoma diagnosed by fine needle aspiration biopsy. A report of four cases with immunocytochemical contributions. Acta Cytol., 38 (4), 1994.
10.
WilliamsJ.C., HeaneyJ.A.: Metastatic renal cell carcinoma presenting as a skin nodule: case report and review of the literature. J. Urol., 152 (6), 1994.
