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a month agoHusband, age 74, diagnosis Nov 25,2025 stage 4 nccRCC. Started Jan 19,2026 on Keytruda(Pembrolizumab) & Lenvima (Lenvatinib). After biopsy, tumor genetics, then full blood genetics, diagnosis was changed on 3/2/26 to FHdRCC. (The next hard part was telling the adult children to be screened for this genetic RCC link) Had 1st CT scan after 8 weeks of treatment, results saw considerably shrinkage of the 3 lung nodules and the liver nodule. The very large kidney tumor 13x15x16 cm shurnk about 20%. Did the "thank you God happy dance". We are encouraged although normal meds for FHd is erlotinib and bevacizumab. Tolerating current treatment of Keytruda &Lenvima with no side effects so doctor thought best stay on these drugs until next scan. We asked doctor "are you an expert in Fumarate Hydratase deficient RCC". His response was "I don't think anyone is". Was not the most encouraging. So I have read up on the medical journals until I feel like I'm ready to give a thesis presentation. I thank all you RCC warriors who have posted your experience...gives us hope!!
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a month agoFinding specialists for FH-deficient RCC can be challenging since it's such a rare condition, but there are steps that can help connect with the right expertise. Consider reaching out to major cancer centers or academic medical institutions that specialize in rare kidney cancers, as they often have physicians who work with unusual genetic subtypes or can connect with colleagues who do through tumor boards and research networks. It's encouraging to hear about the positive response to treatment and how much research has been done to understand this condition better - that knowledge will be valuable when discussing options with specialists.
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22 days agoDebra, Same diagnose for me. Only have left kidney ( lost right to “normal” RCC 25 years ago). My treatment is daily Cabometyx & 28 day Opdivo infusion. Many side effects & have had to stop & restart treatment twice. Had first scan at 4 months & good reduction of both kidney tumor & several lymph nodes. I would think that Hubby’s results at 2 months are very encouraging. And not having side effects is key to keeping his treatment on schedule. Give us periodic updates if you can. Best wishes. AJ
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