title: Coughing up of metastatic tumor as the initial clinical manifestation of renal cell carcinoma.
abstract: A 48 year old white male presented to our office with a piece of tissue which he had coughed up earlier. Histopathology proved it to be a clear cell carcinoma. Bronchoscopy demonstrated the stump of a lesion in the distal trachea. Renal arteriogram confirmed a large renal cell carcinoma of the upper pole of the right kidney.
authors.affiliation: University of Arkansas for Medical Sciences, Area Health Education Center, Pine Bluff.
authors.forename: N S
authors.initials: NS
authors.lastname: Subramanyam
authors.forename: H
authors.initials: H
authors.lastname: Fendley
authors.forename: W H
authors.initials: WH
authors.lastname: Freeman
mesh_terms: D000230:Adenocarcinoma / Q000378:metabolism / Q000473:pathology* / Q000601:surgery; D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D003371:Cough; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014134:Tracheal Neoplasms / Q000473:pathology* / Q000556:secondary / Q000601:surgery