title: Renal adenocarcinoma presenting as a groin swelling: a case report.
abstract: Renal cell carcinoma (RCC) is known to have myriad presentations due to the extremely vascular nature of the organ. RCC are known to metastasize extensively to various organs of the body. We report a case of a 70-years-old male who presented with multiple inguinal lymph node enlargements which on excision biopsy showed metastatic adenocarcinomatous deposit. Search for the primary revealed a RCC arising from the left kidney. Inguinal lymph nodal metastasis, an uncommon site of distant metastasis in renal neoplasm, as a fi rst clinical sign leading to the diagnosis is not yet reported in literature.
authors.affiliation: Departments of Urology and Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
authors.forename: R
authors.initials: R
authors.lastname: Manikandan
authors.forename: L N
authors.initials: LN
authors.lastname: Dorairajan
authors.forename: Santosh
authors.initials: S
authors.lastname: Kumar
authors.forename: Piyush
authors.initials: P
authors.lastname: Tripathi
authors.forename: Paari
authors.initials: P
authors.lastname: Murugan
authors.forename: Debdatta
authors.initials: D
authors.lastname: Basu
keywords: Hypernephroma; Inguinal lymph node metastasis; Renal cell carcinoma