Adjuvant Systemic Therapy After Resection of High-Risk Localized Kidney Cancer

A 71-year-old man with coronary artery disease and chronic kidney disease stage 3 (GFR 35 mL/min/1.73m2), and thus imperative indications for partial nephrectomy, underwent right transperitoneal robotic partial nephrectomy for 7 cm pT3aN0M0 Grade 3 clear-cell renal cell carcinoma with a R.E.N.A.L. Nephrometry Score of 2+2+3+x+2=9x.