Diagnosed with Bilateral multifocal RCC and operated with negative margins. Pancreatic cysts, cerebellar hemangioblastoma, spinal schwanomma and hemangioma, bilateral simple renal cysts Any targeted or immunotherapy to maintain stability of the cysts or shrink them? Please let me know, will take consultation. Medical Oncologist opinion is needed on therapies.. Got one opinion stating RCC in Vhl doesn't have any approved therapies except surgery. But came across belzutifan therapy but some say it's not completely approved in India.. Need opinion from medical oncologist. So that I can consult further. Attached biopsy report. As if now tumours can have been cleared with negative margins. Follow-up Usg shows simple renal cysts of 3 with 1.1cm consistent with old findings