Definition

A renal mass may be benign or malignant. Appearance, size and clinical context guide assessment.

Symptoms

Often no symptoms; blood in urine or flank pain may occur.

How it may be discovered

Frequently discovered incidentally during ultrasound or CT.

When to seek care

Discuss any reported renal mass with a doctor; blood in urine also needs assessment.

Investigations and tests

Appropriate cross-sectional imaging, renal function and indicated staging; biopsy in selected situations.

Reaching a diagnosis

Imaging characterises the lesion; tissue analysis, when obtained, determines its nature.

Treatment options

Selected small-mass surveillance, kidney-sparing surgery or nephrectomy, sometimes ablation. Advanced cancer requires type-specific specialist treatment.

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