Samuel (67 years old)

Samuel, 67 years old, is a retired concierge of a local movie theatre. Nowadays, he enjoys watching Western movies at home. He was diagnosed with primary metastatic RCC 4 years ago. Metastatic sites at primary diagnosis included lung, bone, lymph nodes and adrenal gland.

Assessment summary:

• Underwent laparoscopic nephrectomy on the right side 4 years ago
  • pT2a L0 V0 pR0
  • Grade 2 ccRCC
• Biopsy of bone: histologically confirmed metastasis
• IMDC: intermediate risk
• No relevant past medical history
• First-line therapy with sunitinib (50 mg/daily) on a 4 weeks on-2 week off schedule
• Now, 4 years later: disease progression, metastatic sites: lung, bone, lymph nodes and adrenal gland