A 70-year-old man with a long-standing smoking history presents with hematuria and weight loss. A CT scan shows a solid mass in the upper pole of the ...

Question

A 70-year-old man with a long-standing smoking history presents with hematuria and weight loss. A CT scan shows a solid mass in the upper pole of the right kidney. What is the most appropriate initial management?

Accepted Answer

Radical nephrectomy or partial nephrectomy depending on stage

Answer

Observation only

Answer

Needle aspiration of the mass

Answer

Empiric antibiotics for presumed infection

Answer

Chemotherapy alone without surgery

us-abim MCQ (SBA): Renal cell carcinoma

A 70-year-old man with a long-standing smoking history presents with hematuria and weight loss. A CT scan shows a solid mass in the upper pole of the right kidney. What is the most appropriate initial management?