- OBJECTIVES: To report another rare case ofskin metastasis from a renal adenocarcinoma, analyzingthe prognostic significance, response to therapy, andclinical presentation after a bibliographic review. METHODS/RESULTS: We report the case of a 65-year-oldmale with a cutaneous metastasis in the root of his inferiorleft extremity one year after right nephrectomy for a clearcell adenocarcinoma.CONCLUSIONS: Skin metastases usually present as solitarycutaneous lesions of variable macroscopic features andrapid growing; the diagnosis is made by histologicalanalysis, being excision the treatment of choice wheneverpossible. Prognosis is better for solitary lesions appearingasynchronously with the primary tumor, and among themthe longer the time after diagnosis of initial lesion theyappear the better the prognosis.