Metastatic renal cell carcinoma of the posterior nasal septum as the first presentation 10 years after nephrectomy.

Metastasis of renal cell carcinoma (RCC) to the head and neck region is infrequent, and metastatic RCC in the nasal cavity and paranasal sinuses is rare. Although there are reported cases of RCC to the paranasal sinuses, isolated metastasis of RCC to the nasal septum is extremely rare. This report describes a case of metastatic RCC of the posterior nasal septum that presented as severe epistaxis in a patient who underwent nephrectomy for RCC 10 years previously.