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MALE, 47 Y/O. NO MEDICAL HISTORY






                                                                                  August-Sept 2019




                                                                  What would you do?







           August-19: Biopsy of the renal mass:

           Fibro-necrotic material


                                                                                                       Meanwhile:



           August-19: Biopsy of the bone mts                                                           28/8-4/9/19: Palliative radiotherapy of


           L5:                                                                                         20Gy in 5 fractions for L5→S2 (epiduritis)


           Necrosis


           Sept-19: Re-Biopsy of renal mass:


                  Grade 3, clear cell renal cell carcinoma.

           No evidence of sarcomatoide component or

           necrosis.
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