Isaac (64 years old)

Isaac, a 64-year-old nutritionist with a knack for transforming any meal into a healthy delight, once tried to persuade his grandkids that kale ice cream was the hottest new trend.

Unfortunately, he was recently diagnosed with RCC.

Assessment summary:

• ECOG PS: 1
• No relevant comorbidities
• Thoracoabdominal and pelvic CT scan: centrally located left kidney tumour of 10 cm, extension into vena cava, LN involvement

He underwent radical nephrectomy of the left kidney combined with tumour thrombectomy and removal of 2 enlarged lymph nodes 8 weeks ago.

Pathological findings:

• pT3bN1 tumour of 11 cm, with extension into vena cava below diaphragm
• WHO/ISUP grade 4 ccRCC
• Tumour necrosis present
• Sarcomatoid features 10%
• Negative surgical margins

The patient has recovered after surgery and comes to you for check-up. Post-surgery thoracoabdominal and pelvic CT scan: N0M0.