Management of the Renal Mass

  • J. Chris Riney
  • Neil J. Kocher
  • Matthew KaagEmail author


In the modern world of cross-sectional imaging, up to 70% of renal masses are diagnosed as incidental findings on imaging obtained for unrelated reasons. In the work-up of these lesions, the clinician must differentiate benign from malignant and clinically dangerous from indolent. This chapter discusses the appropriate selection of imaging modality, as well as the work-up and initial management of major categories of renal mass.


Kidney Renal Cyst Nephrectomy Renal cell carcinoma 


  1. 1.
    Chen DY, Uzzo RG. Evaluation and management of the renal mass. Med Clin North Am. 2011;95(1):179–89.CrossRefGoogle Scholar
  2. 2.
    Kang SK, Chandarana H. Contemporary imaging of the renal mass. Urol Clin North Am. 2012;39:161–70.CrossRefGoogle Scholar
  3. 3.
    Israel GM, Bosniak MA. An update of the Bosniak renal cyst classification system. Urology. 2005;66(3):484.CrossRefGoogle Scholar
  4. 4.
    Nelson CP, Sanda M. Contemporary diagnosis and management of renal angiomyolipoma. J Urol. 2002;168:1315.CrossRefGoogle Scholar
  5. 5.
    National Comprehensive Cancer Network (NCCN) clinical practice guidelines in oncology: kidney cancer. V.1.2018, 2018.
  6. 6.
    Campbell S, Uzzo RG, Allaf ME, et al. Renal mass and localized renal cancer: AUA guideline. J Urol. 2017 Sep;198(3):520–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • J. Chris Riney
    • 1
  • Neil J. Kocher
    • 1
  • Matthew Kaag
    • 1
    Email author
  1. 1.Division of UrologyPenn State Milton S. Hershey Medical CenterHersheyUSA

Personalised recommendations