Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 47 5 2009 10 15 419 421 EN Mohammad Shayani Nasab Department Otolaryngology, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran. Mohammad Jafari Department Pathology, Ekbatan Hospital, Hamadan University of Medical Sciences, Hamadan, Iran. Seyed Habibollah Mosavi Bahar Department Urology, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran. Hamid Shayani Nasab Department Urology, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran. 2015 09 28 Metastatic  tumors in the nose and paranasal sinuses are infrequent. The origin of this metastatic tumors are often renal cell carcinoma. We present one case of metastatic renal cell carcinoma  to the nose and paranasal sinuses ,4 years after initial nephrectomy and diagnosis of stage T1N0M0 clear cell carcinoma. The patient complained of nasal obstruction and recurrent epistaxis  who was treated with endoscopic sinus surgery and was successfully palliated after one year. https://acta.tums.ac.ir/index.php/acta/article/view/3619 https://acta.tums.ac.ir/index.php/acta/article/download/3619/3595