Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [incidental finding/hematuria/flank pain/abdominal mass]. History notable for [no/known] hereditary syndromes (e.g., Birt-Hogg-Dubé). Symptoms include [gross/microscopic] hematuria, persistent flank discomfort, and constitutional symptoms (weight loss, night sweats). No history of metastatic disease symptoms (bone pain, dyspnea).
Clinical Examination Findings
Vitals stable. Abdominal exam: [soft/distended], non-tender, no palpable masses or organomegaly. Flank exam: no costovertebral angle tenderness. Lymph nodes: no palpable supraclavicular or inguinal lymphadenopathy. Performance status (ECOG): [0-4].
Treatment Protocol
Surgical management: [Partial/Radical] nephrectomy indicated based on tumor size and location. Chromophobe RCC typically exhibits a more favorable prognosis compared to clear cell RCC. Post-operative plan: histopathological confirmation, staging (pTNM), and surveillance imaging (CT/MRI) per NCCN guidelines.