CONCLUSION
Though rare, renal cell carcinoma can present with metastases after a
prolonged interval following nephrectomy. In the evaluation of pulmonary
nodules, the possibility of metastasis from RCC should be considered in
a patient even after a long time with a history of primary RCC. Even
though enough data is lacking, metastasectomy is the preferred treatment
for pulmonary metastases from RCC.