title: Eyelid-sparing adjuvant radiation therapy for renal cell carcinoma.
abstract: OBJECTIVE
  To describe the use of debulking surgery with adjuvant external beam irradiation as an eyelid-sparing treatment for renal cell carcinoma.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  A 63-year-old male presented with a right upper lid tumor. He had a history of renal cell carcinoma and pulmonary metastasis treated with surgery and systemic chemotherapy. The eyelid tumor was biopsied, followed by debulking surgery and external beam radiation therapy to treat this metastatic tumor.
  
  
  RESULTS
  Histopathological evaluation of the excised tumor revealed a metastatic renal cell carcinoma, clear cell type. At 4 months' follow-up, he had no evidence of recurrence or radiation oculopathy. He was pleased with his cosmetic result.
  
  
  CONCLUSIONS
  Meta static renal cell carcinoma presenting in the eye and orbit can be the initial manifestation of the primary tumor. It is important to include this tumor in the differential diagnosis of recurrent eyelid lesions. Debulking surgery followed by external beam radiation therapy can be used to control the tumor with an eyelid-sparing cosmetic result.
authors: The New York Eye Cancer Center, New York, NY 10021, USA.
authors: Madhavi
authors: M
authors: Kurli
authors: Paul T
authors: PT
authors: Finger
authors: Susan
authors: S
authors: Schneider
authors: Lawrence B
authors: LB
authors: Tena