James Kovacic

2 weeks ago | onlinelibrary.wiley.com | Zoe Williams |James Kovacic |Michael Seco |David Chan

A 72-year-old male presented with an incidental 5 cm right renal mass involving para-aortic and retrocaval nodes. Biopsy revealed a high-grade renal cell carcinoma (RCC). Cytoreductive nephrectomy with limited retroperitoneal lymph node dissection was performed and confirmed a 55 mm clear cell RCC with renal vein involvement and positive surgical margins (pT3aN1). Pazopanib was commenced for 3 months with limited response, followed by nivolumab.