No abstract

Glomus tumor is a vascular tumor that originates from glomus body. It is typically seen in young adults and localized in distal extremities and nail beds. It often presents with stuffiness, rhinorrhea and pain. Glomus tumor is rare in the head and neck region. A 79 year-old-male who presented with stuffiness and ear congestion, was found to have a mass located in the posterior of the nasal cavity on rhinoscopic examination. Macroscopically, the excisional biopsy of the mass had an irregular surface and hyperemia. Pathology of the biopsy showed that the lesion consisted vascular structures, which were surrounded by solid epithelioid, acidophilic and smooth muscle actin positive cells. The case was diagnosed as nasal glomus tumor.

Renal cell carcinoma (RCC), is the most common kidney cancer, that accounts for approximately  90% of all adult renal malignancies with 30% of patients presenting with metastasis at initial diagnosis.There are several reports of metastases developing after 10-20 years even if curative nephrectomy has been made. Clear cell (60%-75%), papillary (10%-15%), chromophobe (5%), and collecting duct carcinoma are well characterized subtypes of RCC.Renal cell carcinoma mainly metastasizes to the lungs,the bones,the liver,the lymph nodes and brain.Metastasis to the head and neck region is rare.In this case report we present a tonsil metastasis after 5 years of nephrectomy.Surgery with histopathological examination confirmed that metastasis of clear cell carcinom.The patient was successfully treated by surgery and referred to oncology.Later he was out of our follow-up.