Introduction
Cutaneous metastases from internal organs, although rare, can signify a poor prognosis. In addition to malignant melanoma, cancers of lung, colon, ovary, and breast are associated with cutaneous metastasis. RCC is considered the most lethal urologic tumor.1 The mean age of presentation is 66 years, and it presents more commonly in men than women (2:1). 2 The classic triad of RCC includes flank pain, hematuria, and a palpable abdominal mass, however it’s uncommon to see concurrent presentation of all three findings in one patient. 3