Nicholas (65 years old)

Nicholas, a 65-year-old former biology teacher, spends his weekends close to the ponds and the streams in his neighbourhood, looking for dragonflies. Unfortunately, a small renal mass was found in his left kidney.

Assessment summary:

• Medical history:
  • Moderate COPD (GOLD II)
  • Crohn’s disease
• Blood work:
  • eGFR: 45 ml/min/1.73 m²
  • Hb: 11.2 g/dl (normal range: 13.6-17.7 g/dl)
• Abdominal contrast-enhanced CT:
  • SRM not otherwise specified in left kidney, size 3.1 cm
  • Location: upper pole, exophytic growth
  • cT1a