63 yr old male.
Apr 2015 radical nephrectomy (left) . for CCRC grade 4. PT3a N0M0.
Aug 2016 local récurrence 1,5 cm 1yr after. Complete resection.
Feb 2017 2nd local récurrence with left colic angle obstruction. Complete resection.
MDRD: 32 ml/mn
do you propose targeted therapies? When? Which?
thanks