Question

A 30-year-old man presents with painless haematuria and flank pain. Investigations reveal a 4 cm renal mass. Imaging suggests malignancy confined to the kidney. What is the best next step?

Accepted Answer

Radical nephrectomy

Answer

Renal biopsy and watchful waiting

Answer

Radiotherapy to the kidney

Answer

Chemotherapy regimen

Answer

Immunotherapy with checkpoint inhibitors immediately

Practice question

A 30-year-old man presents with painless haematuria and flank pain. Investigations reveal a 4 cm renal mass. Imaging suggests malignancy confined to the kidney. What is the best next step?