Kidney Cancer, Dental Assistance and Health Judicialization: A Case Report

The right to health must be guaranteed by the State and is part of the fundamental principles of the Unified Health System (SUS). PCLB, 60 years old, white, married, ex-smoker, ex-alcoholic, diagnosed with metastatic renal cell carcinoma, referred to the Oncology Center of the Oswaldo Cruz University Hospital of the University of Pernambuco (CEON / HUOC / UPE) for treatment with multi-professional assistance, including dental assistance and the use of oral laser therapy to minimize the side effects of cancer treatment. Treated with tyrosine kinase inhibitors (TKIs) Sutent� (sunitinib maleate 50 mg/day), and with disease progression, Votrient� (Pazopanib hydrochloride 800 g/day). Subsequently, treatment with an immuno-oncological agent (IO) Nivolumab (10mg/ml intravenous). These medications were dispensed to the patient through a judicial process with the public defender. Due to the slowness and fragility of the system, there were intervals of discontinuity of the current treatments and reduction of their quality of life. After three years of therapeutic attempts, PCLB presented a systemic worsening of the disease and appearance of brain metastases, which led to death. The creation of positive structural reforms in SUS is necessary for the realization of the right to health.