“…However, late metastasis, defined as distant recurrence occurring more than 10 years after nephrectomy, is not an uncommon occurrence in patients with renal cell carcinoma. 5 The most common sites for metastatic RCC are the lungs, lymph nodes, bone, and liver. The precise mechanism of RCC metastasis is still unknown; however, hematogenous metastasis, lymphogenous dissemination, and direct invasion are some possible ways.…”