Background: Metastatic synchronous vulvo-vaginal cancers are rare. Reports of a renal primary tumour are sparse, and where existent, are usually attributed to the clear cell variety. Case report: A 43 year old woman presented with a six year history of right flank swelling, pain, weight loss, and a hard irregular non-tender mass in the right flank. An abdominopelvic Computerised Tomographic (CT) Scan showed a large lobulated heterogenous right renal mass displacing and compressing adjacent structures. There was no evidence of metastasis seen. A hard vaginal mass developed within three months of presentation, confirmed by histology to be metastatic type II papillary renal cell carcinoma (RCC). She had a right nephrectomy but was lost to follow – up afterwards.