title: A bleeding vaginal lesion as the presenting sign of hypernephroma.
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000556:secondary; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008875:Middle Aged; D014592:Uterine Hemorrhage / Q000209:etiology*; D014625:Vaginal Neoplasms / Q000150:complications / Q000556:secondary*