Recurrent renal cell cancer presenting as gastrointestinal bleed

Figure 1 Histopathology of the nephrectomy specimen showing clear cell type renal cancer.

Figure 2 Computed tomography scan of abdomen showing heterogeneous soft tissue mass extending into the duodenum from right nephrectomy bed.

Figure 3 Endoscopic picture of fungating mass in the duodenum.

Figure 4 Duodenal biopsy showing large cell malignant epithelial neoplasm with abundant eosinophilic cytoplasm and occasional mitotic figures.