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Radio-frequency ablation of the lesions should be considered for better PFS. 8 years of initial cancer before recurrence highlight that the cancer environment is less aggressive. Isolated metastatic disease to the lung with no other mets considering the number and the size of lesions, SRBT is the treatment of choice. No clear evidence of TKI treatment given the age and tumor behavior. However might be considered an discussed with the patient after better control of his BP.
Pending Moderator approval.
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