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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 

 

References

NICE, Urological cancers, recognition and referral, November 2015

 

Contributors

Mr Christopher Blake, Consultant Urologist, RCHT

Dr Stephanie Jackson, GP Lead Urology

 

Reviewed: July 2018