My 53 year old brother has been diagnosed with stage 4 kidney cancer. The kidney primary tumour is 12 x 10 and has metastases in the lungs, innumerable lesions. He is booked for a MRI and then nephrectomy, after this some treatment for the lungs.
If the primary is removed and the lungs respond to treatment, would he still have a 2 to 5 year life expectancy, what kills him?. Also how do they check that it has not spread further than the lungs.
Thank you.