Laryngeal squamous cell carcinoma (SCC) tends to exhibit local spread with
a low incidence of distal metastases. The majority of distal metastases are
to the lungs and renal involvement is extremely rare. We present a case of
laryngeal SCC with metastatic spread to the left kidney presenting as a la
rge, mainly cystic mass. The radiological differentiation of renal metastas
es from primary renal tumours is discussed.