Purpose: To describe a clinicopathologic correlation of a metastatic renal
cell carcinoma to lacrimal gland.
Methods: Case report.
Results: A 59-year-old man with a history of renal cell carcinoma had a hem
orrhagic mass involving the palpebral lobe of the right lacrimal gland. Fun
dus examination disclosed two lesions with typical features of choroidal me
tastasis. The lacrimal gland mass was excised, and histopathologic examinat
ion revealed metastatic renal cell carcinoma. The patient was treated for s
ystemic metastasis but required no further ocular treatment.
Conclusions: Renal cell carcinoma can metastasize to the lacrimal gland, wh
ere it may appear as a hemorrhagic mass.