ABSTRACT
Background : Clear cell variant of renal cell carcinoma has highest risk of metastasizing. Cutaneous metastasis is however unusually rare. We report a case of an elderly male with a lesion on the chin, clinically suspected to be haemangioma, on histopathology diagnosed as cutaneous deposits of renal cell carcinoma, an incidental finding.Case Report : A 75 year old male presented to the surgical OPD with a swelling on the chin, noticed after trauma whilst shaving. The painless lesion rapidly progressed over a period of one and half month with no associated pain. Swelling was surgically excised with clinical suspicion of haemangioma. With histopathological and immunohistochemical examination, a diagnosis of metastasis of clear cell carcinoma originating from the kidney was made. Discussion : In the present case, the patient was an old male presenting with metastasis to the skin of chin, rapidly growing, an incidental finding, search for the primary lesion revealed a renal mass diagnosed as renal cell carcinoma. Conclusion : Although cutaneous metastasis of Renal cell carcinoma to skin is rare specially in chin region, proper clinical evaluation with the help of radiological correlation must be done to find out the primary lesion.