article = {IJSCR-2023-1-101} title = {Acrometastasis as the First Presentation of Renal Cell Carcinoma} journal = {International Journal of Surgical Case Reports} year = {2023} issn = {2674-4171} doi = {http://dx.doi.org/10.31487/j.IJSCR.2023.01.01} url = {https://www.sciencerepository.org/acrometastasis-as-the-first-presentation_IJSCR-2023-1-101 author = {Deepak Verma,Antony Mathew,Rose-Anne Nunoo,Mekha Maria John,Mudit Jain,Syeda Nabila Ali,} keywords = {Finger swelling, acrometastasis, renal cell carcinoma} abstract ={Acrometastasis is the term used to describe secondaries present distal to the knee or elbow [1-3]. The occurrence of this is extremely rare. This accounts for 0.1% of all secondaries to the bone [1-5]. The presence of acrometastasis is considered to be a sinistrous sign and correlates with the advanced stage of the disease condition [1, 2, 5]. The majority of acrometastasis is from lung and gastrointestinal malignancies [1-3]. We present a case of a gentleman in his early 60’s, who presented with acrometastasis as the first sign of renal cell carcinoma.}