Cutaneous metastasis from silent renal cell carcinoma.(Images in Pathology)(Column)

Byline: Preetha. Rajasekharan, V. Kavishwar, P. Butle

A-55-year-old man presented to the ENT outpatients' department with a mass at the tip of his nose, which bled occasionally. On examination, his pulse was 80/ minute; respiration was normal and blood pressure was 130/ 90 mm of Hg. The nasal mass was nodular, greyish black, covered with skin, measured 3x 3 cm, and bled on touch [Figure:1]. Despite being advised surgical excision of the lesion, he ignored it. Two weeks later, he returned with profuse bleeding from the mass, following which he became unconscious and was hospitalised.

On admission, he was unconscious, blood pressure was 170/ 100 mm Hg. A CT scan of the head revealed right-sided basal ganglia bleed, with intraventricular extension. A vascular lesion was noted at …