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Vaginal Metastasis from Renal Cell Carcinoma without Renal Vein Involvement: A Case Report

A 63-year-old woman was admitted in the Urological Clinic for evaluation of vaginal bleeding. Physical examination revealed a pedunculated, friable and very vascularized mass on the right lateral vaginal wall and a left upper abdominal quadrant mass. Urography showed a space-occupying mass of the lower pole of left kidney (Fig. 1); ultrasound scanning confirmed the diagnosis of solid mass. Left selective renal arteriography revealed the enlargement of renal vein without tumor thrombus on venous phase (Fig. 2). C. T. excluded the neoplastic invasion of the left renal vein, vena cava and metastases to regional lymph nodes and confirmed the diagnosis of renal carcinoma. We performed a radical left nephrectomy and excision of the vaginal lesion. The microscopic diagnosis was renal adenocarcinoma without invasion of the renal vein and metastatic renal carcinoma to the vagina.