Does Past Pathology Predict Future Results?

A 59-year-old man with history of renal cell carcinoma (RCC) presents for urological oncological evaluation after a community urologist discovers a 5.5 cm enhancing renal mass with a nephrometry score of 2+1+3+p+1=7p in his right solitary kidney. He had undergone a left nephrectomy 14 years earlier that revealed a Grade II clear cell RCC. The patient has excellent performance status ...