Renal Masses / Renal Cell Carcinoma

 

2WW Criteria 

• 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 

 

References

NICE, Urological cancers, recognition and referral, November 2015, updated Jan 2021

 

Contributors

Mr Christopher Blake, Consultant Urologist, RCHT

Dr Bridgitte Wesson, GP & Kernow RMS Urology Guideline lead

 

Reviewed: March 2022

Next review due: March 2023