Renal Masses / Renal Cell Carcinoma
Introduction
- Approximately 5% of visible haematuria is attributable to renal cancer.
- Most renal tumours are not palpable.
- More commonly, renal masses are serendipitous findings from unrelated abdominal imaging; the report will advise if there are suspicious features warranting a suspected cancer referral.
Investigations
Prior to referral:
- Arrange urgent renal tract ultrasound to investigate any abdominal mass prior to referral.
At time of referral:
- Request urgent staging CT TAP, if imaging shows renal mass.
Referral
Suspected Cancer Pathway – Bladder and Renal
Minimum required information:
- eGFR within last 6 weeks
- Renal tract ultrasound report
- Any reasonable adjustments required
Refer via the Suspected Urology Cancer Fast Track pathway if:
- Imaging suspicious of renal cancer
- Haematuria – see Haematuria guideline to determine whether a fast track suspected cancer referral is indicated
Supporting Information and References
NICE, Urological cancers, recognition and referral, November 2015, updated Jan 2021
Page Review Information
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Review date |
10 October 2024 |
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Next review date |
10 October 2026 |
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GP speciality lead |
Dr Laura Vines |
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Contributors |
Miss Elizabeth Bright, Consultant Urologist RCHT
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