53 years old patient with Grade 2, Renal cell carcinoma. He underwent surgery but had no other follow up treatment. 7 years down the road, cancer metastasized to his lungs.
After 7 years, his cancer metastasized to his lungs. His oncologist prescribed Sutent which cost him RM18,000 per month. However he suffered intolerable side effects. His skin yellowed. He had diarrhea. His face was swollen. He had mouth and throat sores and lost his taste. He suffered hypertenstion and hand-foot syndrome. His skin started to peel. When the dose of Sutent was reduced, he suffered similar effects. There was so much pain that he was unable to stand up and walk. He told the oncologist: I am stopping Sutent. I might die because of the drug and not because of the cancer.
At first Sutent shrunk tumour but the side effects on patient was intolerable. Oncologist switched to Everolimus (Afinitor) that cost RM30,000 per month, i.e. RM1,000 / tablet / day. However, patient suffered side effects: ulceration of mouth with itchiness.