A 65-year-old man presented with a rapidly enlarging pre-auricular lump, with pruritis and contact bleeding. The patient was referred to dermatology due to the high index of suspicion for malignancy. Following excision of the lump and histological analysis it was found to be a metastasis from renal cell carcinoma. The patient had had a T1bN0M0 renal cell carcinoma excised over two decades previously, representing low risk disease. This case report highlights the need for a high index of suspicion in the management of all patients with a past history of malignancy.
Brookman-MayS, MayM, ShariatSF; members of the CORONA project and the SATURN project. Features associated with recurrence beyond 5 years after nephrectomy and nephron-sparing surgery for renal cell carcinoma: development and internal validation of a risk model (PRELANE score) to predict late recurrence based on a large multicenter database (CORONA/SATURN Project).Eur Urol [Epub ahead of print 22 June 2012; DOI: 10.1016/j.eururo.2012.06.030].
PorterNA, AndersonHL, and Al-DujailyS.Renal cell carcinoma presenting as a solitary cutaneous facial metastasis: case report and review of the literature.Int Semin Surg Oncol2006; 12: 27.
