Anita (55 years old)

55-year-old Anita loves tea, and especially enjoys tea parties with her friends from her flower arranging class. She was diagnosed with metastatic papillary RCC (pRCC).

Assessment summary:

• Medical history: dyslipidaemia (controlled by statins), no contra-indications to ICI or VEGFR-TKI therapy
• CT scan: left renal mass, retroperitoneal adenopathy and 4 cm hepatic nodule – cT3bN1M1
• Renal biopsy: pRCC, WHO/ISUP grade 2
• ECOG PS: 2 (asthenia)
• KPS: 70%
• Blood work:
  • Haemoglobin: 10.7 g/dl (12-13 g/dl)
  • Neutrophils: 6.2x10⁹/l (2.0-7.0x10⁹/l)
  • Platelets: 255x10⁹/l (150-400x10⁹/l)
  • Calcium: 9.1 mg/dl (8.5-10.2 mg/dl)
  • LDH: 250 U/l (135-225 U/l)