Cutaneous metastasis to face and neck as a sole manifestation of an unsuspected renal cell carcinoma

IntroductionAn unexpected diagnosis of metastatic renal cell carcinoma(RCC) after excisional biopsy of a skin nodule can bringuncertainty. While there have been several previouslyreported cases of RCC metastasizing to the skin, there areonly a handful of reports of RCC presenting primarily withskin metastasis.