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* 1. A 55 year old man presents with dyspnea and cough. CT scans show a right renal mass about 6 cm size, a large right sided pleural effusion and multiple bilateral lung masses. Thoracentesis is done and fluid cytology reveals malignant cells consistent with metastatic clear cell renal cancer.

Next step in management for this patient should be:

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* 2. A 42 year old healthy male presents with mild hematuria. Large renal mass 14 cm size and multiple abdominal lymph nodes the largest of which is 4 cm and peritoneal lesions are noted. Biopsy of the peritoneal lesion shows sarcomatoid RCC. The initial management should consist of:

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* 3. A 60 year old male who presented with mild anemia and unexplained weight loss. Performance status of 1. PMHx:  Diabetes, hypertension , history of 2 stents 5 years ago for coronary artery disease. PE:  Vitals normal, abdomen exam is benign. CT shows a 10cm right renal mass and multiple bilateral lung metastases. Biopsy of a lung nodule reveals clear cell carcinoma consistent with renal carcinoma. Initial therapy should consist of:

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* 4. A 72 year old female who presented with abdominal pain that resolved without intervention. Zubrod Performance status is 0. PMHx:  htn, hyperlipidemia FHx:  unremarkable. PE:  AF, VSS, abdomen benign. CT shows a 5 cm left renal mass and 2 cm right adrenal mass. The initial management should consist of:

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* 5. Did engagement with this course increase your medical knowledge of RCC?

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* 6. CONTACT INFORMATION FOR CME PROVISION

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* 7. Prior to this educational session, were you aware of this S1931/PROBE trial?

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* 8. Would you be willing to enroll/refer patients to this trial?

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