Many kidney cancers are detected incidentally on ultrasound or CT scan.

A kidney mass needs careful review because treatment depends on size, location, enhancement, kidney function, opposite kidney status, patient fitness and whether the disease appears localised or advanced.

Whenever safely possible, kidney preservation is considered along with cancer control.

We commonly evaluate

• Kidney mass on ultrasound
• Renal tumour on CT/MRI
• Complex kidney cyst
• Blood in urine
• Flank pain
• Incidental small renal mass
• Follow-up after kidney cancer treatment

Evaluation may include

• Review of actual imaging films
• Contrast CT or MRI renal protocol
• Kidney function assessment
• Opposite kidney assessment
• Staging workup when indicated
• Discussion of partial versus radical nephrectomy

Treatment may include

• Active surveillance in selected small renal masses
• Partial nephrectomy when feasible
• Radical nephrectomy when required
• Laparoscopic, robotic or open approach depending on case and setup
• Oncology coordination for advanced disease
• Risk-based follow-up after surgery