“…In other cases [Loughead, 1952;Shaheen, 1960;Bergstedt and Herberts, 1962;Glanz and Kleinsasser, 1978], however the laryn geal location was the first symptom reported by the patient and led to the discovery of the primary neoplasm which otherwise might have gone undetected. Beside hoarseness and dysphagia, hemoptysis is an important symp tom of laryngeal metastasis from renal ade nocarcinoma, because of the abundant vas cularization of the tumor [Bergstedt and Her berts, 1962;Stankiewicz and Mostowski, 1979], Neoplastic dissemination to the larynx oc curs via the bloodstream, through lymphatics or the hemolymphatic circulation.…”