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Renal cell carcinoma presenting as a scalp swelling
N Eke1, P Eghwrudjakpor, R C Echem
1Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Background:
Renal cell carcinoma occasionally presents in an unusual manner.
Aim:
To report the rare presentation of renal cell carcinoma as a scalp swelling.
Method:
The case record of a patient with renal cell carcinoma and the literature on the disease were reviewed.
Result:
A 42-year old woman presented with a scalp swelling. Haematuria was missed at the first visit until she volunteered it on a subsequent visit. Investigations suggested renal cell carcinoma. This was confirmed following a right nephrectomy. The scalp lesion was a metastasis extending through the skull into the intracranial compartment. She was not given any systemic drugs because none was available. She survived until she was lost to follow up.
Conclusion:
Haematuria remains an important symptom of renal cell cancer and should be elicited during systemic enquiry.