Renal cell carcinoma, originating from the renal tubular epithelial cells, is the second most lethal urinary cancer. 1 Among all subtypes of RCC, clear cell type is the most common, accounting for approximately 85%-90%. 2 Although most of the incidentally detected masses are benign and low-grade, approximately 17% of all renal cancers are diagnosed with a distant metastasis. 3 Once metastasis occurs, the prognosis of ccRCC will become poor, with a median survival of only approximately 13 months and a 5-year survival rate of less than 10%. 4 In recent years, multiple drugs such as TKIs, mTOR inhibitors, and the anti-vascular endothelial growth factor mAb,