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Renal Masses / Renal Cell Carcinoma

2WW Criteria 

Abdominal mass arising from the urinary tract or imaging shows renal mass 

 

 Management prior to referral

 

  • Urgent renal tract USS

 

  • 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 that guidance that includes an urgent renal tract USS. 
  • 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