A 45-year-old man was admitted to our hospital with complains of weight loss, abdominal distension and a Painless subcutaneous nodule on his left thigh for 2 months. Apart from the presence of ascitis and subcutaneous nodule, the findings of the physical examination were normal. No icterus was present. Laboratory analysis showed the following results: Total Leukocyte count (TLC) 9,500/mm 3 , haemoglobin 7.6 gms/dL; Liver Function Test (LFT) showed: total bilirubin levels of 0.5 mg/dl, serum aspartate transaminase and alanine aminotransferase levels wee 256IU/L and 280 IU/L, alkaline phosphatase 332 IU/L.

Cytodiagnosis of cutaneous metastasis of renal cell carcinoma (RCC) in the absence of history of primary tumor is difficult as it can be confused with other clear cell tumors. We report here a case of cytodiagnosis of cutaneous metastasis of RCC in a patient who had nephrectomy done 9 years back at some other centre, but did not have any records with him. Clinicians should be aware of the possibility of primary internal organ malignancy in patients presenting with cutaneous lesions and therefore conduct a careful examination and get necessary investigations. Prompt diagnosis and treatment will have its bearing on the eventual outcome.