Andrew (42 years old)

Andrew, 42 years old, decided to change his career and will start as a fashion designer at a company that develops 4 menswear collections a year. However, he has haematuria and asthenia.

Assessment summary:

• CT scan: revealed a right renal mass and diffuse liver lesions
• Kidney mass biopsy: grade 3 clear-cell RCC (ccRCC)
• ECOG PS: 1
• KPS: 80%
• No relevant medical history
• No family history of cancer
• Blood work:
  • Haemoglobin: 11.2 g/dl (12-13 g/dl)
  • Neutrophils: 8.2x10⁹/l (2.0-7.0x10⁹/l)
  • Platelets: 680x10⁹/l (150-400x10⁹/l)
  • Calcium: 9.0 mg/dl (8.5-10.2 mg/dl)
  • LDH: 420 U/l (135-225 U/l)