Renal cell carcinoma
Adjuvant therapy in RCCAntonia (83 years old)
Antonia, 83 years old and a retired jeweller and lifelong gem enthusiast, has an unmatched expertise when it comes to jewels. However, age occasionally played its tricks - like when she confused her polishing cloths with her cat's favourite napping blanket. Seeing her cat parade around with a freshly polished, gleaming coat of fur, she’d chuckle and say, “Well, at least he’s sparkling now, too!”
Unfortunately, she was recently diagnosed with RCC.
Assessment summary:
- ECOG PS: 1
- Hypertension
- Diabetes mellitus type 2
She underwent radical nephrectomy of the right kidney 8 weeks ago.
Pathological findings:
- pT3a tumour of 7.5 cm, renal vein invasion
- WHO/ISUP grade 4 ccRCC
- Tumour necrosis present
- Sarcomatoid features
- Negative surgical margins
The patient has recovered after surgery and comes to you for check-up. Post-surgery thoracoabdominal and pelvic CT scan: N0M0.