The majority of cases of metastatic
tumors involve the
mandible and some the
maxilla but they are considerably lesscommon in intraoral soft
tissues. In addition, the primary
tumor is known in the majority of cases; although in onethirdof such cases,
metastasis is the first clinical manifestation. The most common primary
tumors metastasizingto the
mouth are
lung carcinoma in
men and
breast carcinoma in
women. An oral
metastasis implies a serious
prognosis,as in the majority of
patients there is multiple organ involvement at the
time of
diagnosis. We present the caseof a 52-year old
patient with renal
pathology who came to the
emergency room due to a rapidly increasing gingivaltumor. With the provisional
clinical diagnosis of a
pyogenic granuloma,the
tumor was excised. Subsequent anatomopathologicalanalysis revealed a
tumor metastasis compatible with clear-
cell carcinoma, and its renal originwas confirmed by means of immunohistochemical
techniques (AU)