I have a 73 y/o F who was diagnosed in 2016 s/p L nephrectomy for 8.5cm RCC with rhabdoid features, invading renal vein. She had recurred in lung 2018 and underwent resection RML for oligometastatic site 2018. We have been following with her q6 month with labs and CT TAP and she has been NED for 5 years now. My question is when you would stop imaging and surveillance in such patients?
Great question--5 years is what the literature mentions the most, but I am seeing late recurrences. in my practice, I continue to Year 10 for high-risk patients