Recurrent RCC
In rare cases, a patient will have a solitary site of recurrence of RCC detected several years after nephrectomy. In these exceptional cases, surgical removal of the solitary site of recurrence may be possible after extensive imaging tests have shown no other evidence of cancer spread. Otherwise, treatment with targeted therapies or cytokine immunotherapy will be recommended. Clinical trials of new treatments are an option as well. Radiation therapy can be used to reduce symptoms of some metastases. Controlling symptoms such as pain is an important part of treatment at any stage of the disease, proper treatment of pain often helps people with cancer to be more active and continue their usual activities.
excerpt from www.beatrcc.com
how is her overall health state? Im not sure a 67 YO woman can have another partial nephrectomy.