This protocol addresses localised renal cell carcinoma occurring in patients who carry a germline variant in the von Hippel-Lindau (VHL) gene. This hereditary genetic background identifies a specific sub-population for whom a distinct management pathway applies.
For patients in this setting who do not require immediate surgery, a targeted medical therapy is available. This approach may allow eligible patients to avoid surgical intervention.
Belzutifan appears to be well tolerated and should be recommended for patients who do not require immediate surgery.
Belzutifan may avoid surgeries and can be considered for patients with germline VHL variants and localised renal cancer.
DOI: 10.1016/j.annonc.2024.05.537
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