Metastatic renal cell carcinoma; vaginal bleeding as a presentation

Approximately 30% of patients with renal cell carcinoma present with metastatic disease at the time of diagnosis. Metastasis of renal cell carcinoma to the vagina is rare. A 61 year old female presented with a vaginal lesion which was excised and diagnosed as metastatic clear cell carcinoma. A workup further is done Radiological studies revealed a left renal mass; A subsequent nephrectomy confirmed renal cell carcinoma. Renal cell carcinoma must be in the differential diagnosis of a vaginal clear cell neoplasm in a postmenopausal woman