Hand metastasis: an unusual presentation of renal cell carcinoma

Metastatic spread of cancer to the hand is unusual, representing only 0.1% of all cancer metastases [6]. We describe a rare case of a swelling in the hand, which was the first presentation of metastatic renal cell carcinoma (RCC) in a patient with a solitary kidney. This case report outlines the systematic investigative pathway which was needed to reach the diagnosis and the multi-disciplinary approach to the management of this condition.