Case 1: Ernesto (59 years old)

59-year-old Ernesto is the proud owner of a salsa bar. He is overjoyed to make a career out of his passion for dancing.

Recently, he has been feeling more tired and has noticed weight loss. He wonders if he is just getting too old for dancing the night away, or if there is more to it.

Assessment summary:

• ECOG PS: 0
• KPS: 90%
• CT scan:
  • Left renal mass (suspicious for RCC)
  • Several lung and liver lesions suspicious for metastases
• Blood work:
  • Haemoglobin: 10.7 (normal range: 14-17 g/dl)
  • Calcium: 11.2 (normal range: 9-10.5 mg/dl)
  • Neutrophil count: 4.8 (normal range: 2.6-8.5 x 10³ cells/mcl)
  • Platelet count: 466 (normal range: 150-350 x 10³/mcl)