Renal Cell Carcinoma
Local therapy for mRCC

Luca (59 years old)

59-year-old Luca 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)
    • 2 resectable pulmonary nodules <2 cm
  • Blood work: normal

Which of the following treatment options would you choose for this patient?