Harry (44 years old)

Harry, aged 44, started working in a logistical centre of food supplements a few months ago, but is struggling to carry out his work activities. He recently presented with haematuria and asthenia.

Assessment summary:

• CT scan: revealed a large right renal mass and diffuse liver lesions
• cT2bN0M1
• Kidney mass biopsy: WHO/ISUP grade 3 ccRCC
• ECOG PS: 2 (due to haematuria and asthenia)
• KPS: 70%
• Medical history: active but controlled uncomplicated ulcerative colitis, treated with mesalazine
• 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)