Constantin (58 years old)

Constantin, a 58-year-old speech therapist, patiently helps his clients develop clearer, more confident communication skills.

Unfortunately, he was recently diagnosed with RCC.

Assessment summary:

• ECOG PS: 0
• Rheumatoid arthritis controlled with methotrexate
• Thoracoabdominal and pelvic CT scan: right kidney tumour of 5 cm without LN involvement

He underwent radical nephrectomy of the right kidney 6 weeks ago.

Pathological findings:

• pT3a tumour of 6 cm, renal vein invasion
• WHO/ISUP grade 4 ccRCC
• Tumour necrosis present
• No sarcomatoid features
• Negative surgical margins

The patient has recovered after surgery and comes to you for check-up. No metastatic lesions were identified on post-surgery CT scan.