title: Pulsatile Clavicular Swelling as the Sole Presentation of Asymptomatic Renal Cell Carcinoma with an Isolated Metastasis to the Clavicle: A Case Report.
abstract: Renal Cell Carcinoma (RCC) is notorious for its unpredictable dissemination patterns involving both lymphatic and haematogenous route without a clear-cut preponderance for any. Unlike other intra-abdominal malignancies like colorectal carcinoma, renal cell carcinoma is often known to metastasize to distant sites even after a confident and unsuspecting curative resection or often as the primary presentation constantly adding and agitating our presentation patterns for this sneaky tumour. Presented below is a case of such an unsuspecting female patient. She was referred from the orthopaedic OPD to surgery OPD with a right clavicular swelling which was histopathologically examined and diagnosed as a metastatic renal cell carcinoma following which she was diagnosed with right renal cell carcinoma.
authors.affiliation: Professor, Department of General Surgery, Government Medical College and Rajindra Hospital , Patiala, Punjab, India .
authors.forename: Ashwani
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Postgraduate Trainee, Department of General Surgery, Government Medical College and Rajindra Hospital , Patiala, Punjab, India .
authors.forename: Nitish
authors.initials: N
authors.lastname: Arora
authors.affiliation: Associate Professor, Department of General Surgery, Government Medical College and Rajindra Hospital , Patiala, Punjab, India .
authors.forename: Paras Kumar
authors.initials: PK
authors.lastname: Pandove
authors.affiliation: Postgraduate Trainee, Department of Pathology, Government Medical College and Rajindra Hospital , Patiala, Punjab, India .
authors.forename: Garima
authors.initials: G
authors.lastname: Anand
authors.affiliation: Postgraduate Trainee, Department of General Surgery, Government Medical College and Rajindra Hospital , Patiala, Punjab, India .
authors.forename: Bharti
authors.initials: B
authors.lastname: Arora
keywords: Bony swelling; Renal incidentaloma; Symptomatic metastasis