16th September 2020

Mr Smith is a 76-year-old gentleman who has presented to the GP

Mr Smith is a 76-year-old gentleman who has presented to the GP with a 5-month history of pain along his right flank, haematuria, 10kg of unexplained weight-loss, and has begun to develop abdominal swelling. In addition to these findings, he is found to have deranged renal function tests and a testicular varicocele that does not empty on lying down. He has no other medical conditions and no history of recent foreign travel. 

What is the most important diagnosis to consider?

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