Renal cell carcinoma (RCC) account for 3% all of solid organ tumours and commonly occurs in men in the age range of 60 to 70 years. The rare metastatic site are head and neck (15%), orbit, parotid glands, nasal cavity and paranasal sinuses, thyroid gland, skin (3%), heart (10%), muscle & joints and adrenal glands. Very few cases of RCC are reported in literature presented with up to 4 metastatic sites in a Pt.; here we are reporting a case report of seven metastatic sites in a patient. A 52-year-old male presented with distant metastasis to bone, lung, lymph nodes (common sites) and to scalp, heart, adrenal gland and muscle (relatively rare metastatic sites) making a total of seven metastases, 2-year after post-radical treatment with initial staging pT2bNxM0.
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