title: Renal cell carcinoma presenting as a scalp swelling.
abstract: BACKGROUND
  Renal cell carcinoma occasionally presents in an unusual manner.
  
  
  OBJECTIVE
  To report the rare presentation of renal cell carcinoma as a scalp swelling.
  
  
  METHODS
  The case record of a patient with renal cell carcinoma and the literature on the disease were reviewed.
  
  
  RESULTS
  A 42-year old woman presented with a scalp swelling. Haematuria was missed at the first visit until she volunteered it on a subsequent visit. Investigations suggested renal cell carcinoma. This was confirmed following a right nephrectomy. The scalp lesion was a metastasis extending through the skull into the intracranial compartment. She was not given any systemic drugs because none was available. She survived until she was lost to follow up.
  
  
  CONCLUSIONS
  Haematuria remains an important symptom of renal cell cancer and should be elicited during systemic enquiry.
authors.affiliation: Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
authors.forename: N
authors.initials: N
authors.lastname: Eke
authors.forename: P
authors.initials: P
authors.lastname: Eghwrudjakpor
authors.forename: R C
authors.initials: RC
authors.lastname: Echem
mesh_terms: D000328:Adult; D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery; D004487:Edema / Q000473:pathology*; D005260:Female; D006258:Head and Neck Neoplasms / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D012535:Scalp; D012878:Skin Neoplasms / Q000556:secondary* / Q000601:surgery