An Old Man with Fatigue and Shortness of Breath

A 72-year-old male presented to a clinic with fatigue and shortness of breath. Initial clinical examination Hematocrit level: 55% Medical history Hypertension Hyperlipidemia Coronary artery disease Gastroesophageal reflux disease Surgical history Cardiac stenting Tonsillectomy Radiograph analysis The patient underwent a contrast-enhanced CT scan that revealed A large right renal mass with intravascular tumor extension onto the renal vein. (Fig. 1) A mass within the liver that was suspected to be metastatic in nature. (Fig. 2)   Source: Cancer Advisor What should be the initial management strategy for this patient?

Option A. Right kidney embolization with interventional radiology Option B. Surgical removal of the right kidney Option C. Surgical removal of the liver lesion Option D. Chemotherapy   *This case is from the Docplexus Editorial Team for educative purposes only.