Clinical Focus 
 Case Report

An atypical cutaneous complication

A nodular skin lesion on the scalp of a patient lost to follow-up is a rare sign of sinister spread
Dr Belinda Lai Dr Tania Moujaber
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11 August 2020
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Close-up view of cutaneous metastasis of clear cell renal cell carcinoma.

Betty, a 64-year-old female, presents to ED with a nodular lesion on her superior scalp.

The nodule has been present for several months and is causing pain, irritation, bleeding and distress because of cosmetic concerns.

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