The Role of Surgery in Patients with Metastatic RCC

A 55-year-old woman in excellent overall health underwent a CT urogram for evaluation of gross hematuria. Imaging demonstrates a 13 cm left renal mass extending into the left renal vein.

The patient had no significant comorbidies and had excellent renal function with a creatinine level of 0.7 mg/dL and a calculated glomerular filtration rate (using the MDRD study equation) of 92 ...