title: A unique presentation of an undiagnosed renal cell carcinoma.
abstract: We describe a 58-year-old lady who presented initially to her general practitioner with a palpable warty urethral nodule. She was subsequently referred to the urology department for further investigations. She underwent flexible cystoscopy and imaging, followed by rigid cystoscopy and excision of the nodule. Histological analysis was consistent with renal cell carcinoma (RCC). CT imaging confirmed the presence of an invading metastatic left renal cell carcinoma with bilateral metastatic deposits to the lungs and adrenal glands. The patient was enlisted on the Panther Trial and received a course of Pazopanib before undergoing radical nephrectomy. Two years later she is still alive with metastases remaining reduced in size and numbers. During this study we have performed a literature review of similar cases with this unusual presentation of RCC.
authors.affiliation: Department of Urology, Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, Essex SS16 5NL, UK.
authors.forename: Georgios
authors.initials: G
authors.lastname: Kravvas
authors.affiliation: Department of Urology, Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, Essex SS16 5NL, UK ; Urology, Ipswich Hospital, Heath Road, Ipswich, Suffolk IP4 5PD, UK.
authors.forename: Michalis
authors.identifier: 0000-0001-8535-9052
authors.initials: M
authors.lastname: Varnavas
authors.affiliation: Department of Urology, Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, Essex SS16 5NL, UK.
authors.forename: Saad
authors.initials: S
authors.lastname: Aldujaily