Renal Masses / Renal Cell Carcinoma
- Abdominal mass arising from the urinary tract or imaging shows renal mass
If Haematuria- see haematuria guidance to see if fits 2ww criteria/ pathway
Management prior to referral if palpable mass:
- Urgent renal tract USS
When refer please also request:
- CT renal mass 2WW with CT thorax for full staging if imaging shows renal mass
Primary Care Management
- ~5% visible haematuria is attributable to renal cancer. Patients with haematuria should be managed in line with haematuria guidance.
- Most renal tumours are not palpable. Please investigate any abdominal mass with USS prior to 2WW referral.
- More commonly renal masses are serendipitous findings from unrelated abdominal imaging; the scan report will advise if there are suspicious features warranting 2WW referral.
- Please pre warn patients the significance of referral
NICE, Urological cancers, recognition and referral, November 2015, updated Jan 2021
Mr Christopher Blake, Consultant Urologist, RCHT
Dr Bridgitte Wesson, GP & Kernow RMS Urology Guideline lead
Reviewed: March 2022
Next review due: March 2023