A. Delsa,M. T. Mogl,M. H. Lerchbaumer,L. Mantouvalou,P. E. Goretzki,E. T. Taube,Thomas Fischer,Agata Katarzyna Dukaczewska, Surprisingly Late Metastasis of Renal Cell Carcinoma in the Thyroid Gland Detected by Routine Multiparametric Ultrasound Surgical Case Reports 2020 2613-5965 http://dx.doi.org/10.31487/j.SCR.2020.12.19 https://www.sciencerepository.org/surprisingly-late-metastasis-of-renal-cell-carcinoma-in-the-thyroid_SCR-2020-12-119 Abstract: The differential diagnosis of thyroid nodules in patients treated for renal cell carcinoma in the past can be challenging unless they present sonographic features of malignancy. The possibility of metastases to the thyroid gland, even many years after the primary occurrence of the renal tumor, should always be considered. Here, we present the case of a patient diagnosed with metastases of a renal cell carcinoma to the thyroid 22 years after nephrectomy of the left kidney and uneventful follow-up. Keywords: Renal cell carcinoma, metastases to the thyroid