title: Vaginal metastasis of a clear renal cell carcinoma.
abstract: OBJECTIVE
  Remember that kidney cancer is a disease whose incidence is increasing due to increased use of additional imaging tests, which is changing the way of diagnosis, making the classic clinical syndrome synonymous with advanced illness.
  
  
  METHODS
  We report the case of a patient with a right renal tumor with renal vein involvement that in the natural course of the disease showed a vaginal metastasis of clear renal cell carcinoma, which was treated with surgical excision.
  
  
  RESULTS
  This case is a clear example of how unpredictable is the clinical evolution of this disease and how little we know about the way of dissemination.
  
  
  CONCLUSIONS
  Local excision, with or without radiotherapy, or radiotherapy alone are recommended in cases of unique metastasis after nephrectomy.
authors: Department of Urology, Complejo Hospitalario Universitario de Albacete, Spain. jesus.martinez.ruiz@gmail.com
authors: Jesús
authors: J
authors: Martínez Ruiz
authors: Rafaél
authors: R
authors: Ruiz Mondéjar
authors: Pedro
authors: P
authors: Carrión López
authors: Carlos
authors: C
authors: Martínez Sanchiz
authors: María José
authors: MJ
authors: Donate Moreno
authors: Héctor
authors: H
authors: Pastor Navarro
authors: Miguel
authors: M
authors: Perán Teruel
authors: Julio A
authors: JA
authors: Virseda Rodríguez