title: Management of solitary palatal metastasis from renal cell carcinoma.
abstract: BACKGROUND
  A 68-year-old male diagnosed with left-side renal cell carcinoma, and in clinical remission for 3 years following a nephrectomy, presented with a 2-month history of progressive difficulty in swallowing, accompanied by a new growth in the palate. Examination revealed a 25 mm x 25 mm soft-tissue growth at the junction of the hard and soft palate. Systemic examination did not reveal any other evidence of cancer progression.
  
  
  METHODS
  CT scans, nasopharyngoscopy, fine-needle aspiration of palatal lesion and immunohistochemistry of biopsy specimen.
  
  
  METHODS
  Solitary palatal metastasis at the junction of the hard and soft palate from renal cell carcinoma.
  
  
  RESULTS
  Local, lesion-directed interferon therapy, repeat nasopharyngoscopy and regular clinical follow-up.
authors.affiliation: James P Wilmot Cancer Center, University of Rochester, Rochester, NY, USA. manish_kohli@urmc.rochester.edu
authors.forename: Manish
authors.initials: M
authors.lastname: Kohli
authors.forename: Robert
authors.initials: R
authors.lastname: Schaefer
mesh_terms: D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D002292:Carcinoma, Renal Cell / Q000473:pathology*; D006801:Humans; D000077190:Interferon alpha-2; D016898:Interferon-alpha / Q000627:therapeutic use; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D010157:Palatal Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000628:therapy; D011994:Recombinant Proteins
chemical_list: D000970:Antineoplastic Agents; D000077190:Interferon alpha-2; D016898:Interferon-alpha; D011994:Recombinant Proteins