Metastatic renal cell carcinoma of the nasal septum

Renal cell carcinoma tends to metastasize early to nearly all organs. In the head and neck region, the nasal cavities and paranasal sinuses are targets for its hematogenous spread. This is a case report of a renal cell carcinoma involving the nasal septum that presented as severe epistaxis after a nephrectomy for its primary and after a finger amputation for its metastatic site.