This patient was diagnosed with ca ovary and RCC 3 months received neoadjuvant chemotherapy with no significant response post chemo. Considering dual malignancy and no treatment being oferred to RCC all this while and it was technically possible to remove the entire disease it was decided to go ahead with this major surgery after discussing all the options with the family and treating oncologist.
Patient underwent a supermajor resection with total parietal peritonectomy omentectomy subtotal colostomy with hysterectomy and bilateral adnexa and lymph node dissection and left partial nephrectomy.
Patient recovered well post op discharged and doing well now. Final histopathology pd serous ca ovary with minimal response to chemo and grd 3 RCC with all clear margins