“…Lesions are clinically challenging to diagnose, as they may resemble epidermoid cysts, fibromas, or vascular tumors such as Kaposi sarcoma, hemangioma, or pyogenic granuloma. 1 , 7 Given the uncharacteristic location of the lesions in our patient, we initially considered pyogenic granuloma secondary to treatment with sunitinib as the leading differential diagnosis, as several receptor tyrosine kinase inhibitors were recently reported to be associated with this vascular lesion. 8 However, histologically, RCC tumor nodules are composed of clear-staining tumor cells within a highly vascular stroma, as was seen in our patient.…”