[Clinical Picture] Cutaneous metastasis of renal cell carcinoma

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A 72-year-old woman presented to Singapore General Hospital (Singapore) in June, 2019, with 2 months of gross haematuria, complicated by obstructive uropathy of the solitary right kidney from blood clots. She had a history of left radical nephrectomy 8 years ago, for which the initial histology was positive for a pT2aN0M0 Fuhrman Grade II clear-cell renal cell carcinoma with no sarcomatoid components, and the margins were clear of tumour after surgery. She remained recurrence-free on follow-up with yearly ultrasound of the right kidney and chest x-rays in her home country of Bangladesh.

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