[Cervical lymph node metastasis disclosing a Grawitz's tumor. Apropos of a case]

The authors report a case of advanced renal cell carcinoma presenting in the form of cervical lymph node metastases. In the absence of any specific clinical signs and an ENT portal of entry, this obviously neoplastic subdigastric lymphadenopathy was apparently primary. Histopathological examination of the cervical lymph node dissection revealed metastatic renal cell carcinoma and complementary investigations revealed the primary tumour in the right kidney. The course was fatal within several weeks despite treatment. The various problems raised by this truly metastatic disease are discussed.