Renal Masses / Renal Cell Carcinoma


Diagnosis:  2WW Criteria 

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



  • ~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 


Management prior to referral:

            Diagnosis is made on contrast CT: Please request

            (MAXIMS: CT renal mass, 2WW) with CT thorax for full staging