Hilde (83 years old)

A 83-year-old Hilde had devoted nearly 50 years to the local bakery. Each pastry and loaf reflected decades of skill and passion, turning simple ingredients into golden, mouthwatering masterpieces.

Unfortunately, she was recently diagnosed with RCC.

Assessment summary:

• ECOG PS: 2
• 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 (still ECOG PS: 2) and comes to you for check-up. Post-surgery thoracoabdominal and pelvic CT scan: N0M0.