Bleeding is observed due to the fragility of the tumor. Renal cell carcinoma is the most common primary neoplasm of the kidney. Concomitant metastasis of renal cell carcinoma is seen in 30% of patients at the time of diagnosis. Those are mostly seen in the lungs, lymph nodes, liver and brain. Late metastasis can develop years after the curative nephrectomy in 50% of patients but colonic metastasis is very rare.
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