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Renal cell carcinoma (RCC) has diverse behaviour. At the time of diagnosis, many patients are found to have metastases. Bones, lungs, liver and brain are the frequent homing sites of metastases. Parotid gland metastasis is the rarest manifestation of RCC. Here-in we report a case of a 70 year old Saudi male who underwent radical left nephrectomy in February 1997 for renal cell carcinoma (RCC) pT2N0M0. After remaining asymptomatic for 15 years, in January 2012, he presented with four months history of left cheek mass. Subsequent computed tomography (CT) and CT- positron emission tomography (PET) imaging showed left parotid lesion of size 1.3 cm. Patient underwent left parotidectomy. Histopathology was consistent with metastatic RCC. At nine months after metastatectomy, patient was doing well without any disease recurrence.
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