Renal cell carcinoma with involvement of iris and conjunctiva.
OBJECTIVE
To report a case of metastatic renal cell carcinoma with involvement of the iris and bulbar conjunctiva.


METHODS
Case report. A 70-year-old man without known systemic disease developed an iris mass in his left eye. Iridocyclectomy was performed to remove the iris mass.


RESULTS
Histopathologically, the iris mass was consistent with metastatic renal cell carcinoma. Further evaluation disclosed a mass of the left kidney. The patient underwent a left nephrectomy and was found to have renal cell carcinoma, with focal penetration into the renal capsule. One month after the nephrectomy, he developed a highly vascular nodule of the left bulbar conjunctiva. An excisional biopsy was performed, and histopathology disclosed an additional focus of renal cell carcinoma.


CONCLUSIONS
Iris and conjunctival involvement may be a clinical manifestation of renal cell carcinoma. Renal cell carcinoma should be considered in the differential diagnosis of a fleshy, vascular iris and a conjunctival nodule.
Ware
G T
GT
Department of Ophthalmology, University of Tennessee, Memphis 38163, USA.
Haik
B G
BG
Morris
W R
WR
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery; D002924:Ciliary Body / Q000601:surgery; D003230:Conjunctival Neoplasms / Q000556:secondary* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007498:Iris / Q000601:surgery; D015811:Iris Neoplasms / Q000556:secondary* / Q000601:surgery; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D008297:Male; D009392:Nephrectomy