Background-Metastatic lesions of the oral cavity are extremely rare, accounting for approximately 1% of all malignant oral tumors. Renal cell carcinoma (RCC) is the third most frequent neoplasm to metastasize to the head and neck region preceded only by breast and lung cancer. Case presentation- we present a case of patient with oral cavity metastases of clear cell variant of renal cell carcinoma. An 52 years old female noticed swelling on left upper gingiva in . In September 2023 , she came to our department because the mass had slowly enlarged. His past medical history included clear cell RCC in his Right kidney in June 2022 with multiple pulmonary metastases afferently present she has been treated by Right sided radical nephrectomy. He had received molecular targeted therapy with sorafenib for 1 years followed by sunitinib and was on follow up developed upper gingival Metastasis of rcc and was treated with 20 GY / 5# by intensity modulated radiotherapy technique (Figure 2 ) to left upper gingiva in Oct 2023 as a palliative radiotherapy approach. Now she is currently on Lenvatinib and is doing well. Conclusion: RCC has been shown to metastasize to the head and neck region in rare instances.Surgical therapy may be recommended because of its high local control rate and ability to maintain quality of life. If metastatic RCC is established, additional therapeutic options, including immunotherapy, tyrosine kinase inhibitors