An unusual presentation of metastatic renal cell carcinoma w
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Renal cell carcinoma is aggressive cancer, which could explain why as many as a third of cases are diagnosed as metastatic at presentation. With the incidence of renal cell carcinoma on the rise and a 5-year survival rate of just over 10% with metastatic disease, it is important to highlight the role of early detection of this cancer in order to optimize management and improve outcomes. Vulva and vagina represent rare sites for metastases from renal cell cancer, with clear cell renal cell cancer accounting for about a fifth of metastatic vulval cancer. We present a case of per vaginal (PV) bleeding secondary to vulvo-vaginal metastasis from left renal clear cell carcinoma. The purpose of this case report is to highlight the relatively rare presentation of vulvo-vaginal metastases from RCC and the importance of early diagnosis of these cases due to its poor prognosis...

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