24th September 2020

A 79-year-old male has painless haematuria, flank pain, weight loss and haemoptysis

A 79-year-old male has painless haematuria, flank pain, weight loss and haemoptysis. He has multiple comorbidities including poorly controlled hypertension, peripheral vascular disease and diabetes mellitus and mobilises with a wheelchair. On further investigation, a chest x-ray reveals cannonball metastasis secondary to renal transitional cell cancer. 

What is the most appropriate treatment?

Select the SINGLE most appropriate option from the list below. Select ONE option only.