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Published in Renal Cell Carcinoma

Expert Opinion / Cases · April 25, 2019

Clear Cell Carcinoma With Small Pulmonary Nodules

 JoAnn Hsu
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  • Bruno Santucci

    Apr 26, 2019

    In my opinion if the patient is not symptomatic and the nodules are stable I would continue the treatment and re-evaluate every 10-12 weeks.

  • Laszlo Torday

    Apr 26, 2019

    This case cannot be discussed properly, because lots of information is missing. Patient had multiple splenic lesions and retroperitoneal lymph nodes and underwent radical nephrectomy with splenectomy. No data provided the pathological findings of surgical specimen regarding those splenic lesions. No proper data provided regarding measurements of proposed retroperitoeal lympadenopathy before the radical nephrectomy and on the latest scans, so we can't judge size changes of these lesions. We do not have the result of preoperative chest CT scan too, so we can't judge whether pulmonary nodules are novel lesions or not. It would be also useful to know, how many nodules are we talking about? 5? 10? or more? Without these data nobody can exactly asses the change of the disease, so no recommendation can be done regarding the further management.  

  • Nov 25, 2024

    Pending Moderator approval.
    Delete

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