24th September 2020

A 55-year-old male presents to his GP with gross haematuria and flank pain

A 55-year-old male presents to his GP with gross haematuria and flank pain. He describes the pain as dull and constant, which improves minimally with paracetamol. He is a chronic smoker with a 30-pack year history and has COPD that is well managed. He works in a paint factory and lives at home with his wife. There is no significant family history of any renal disease; otherwise, he is afebrile and generally well. 

What is the most likely diagnosis? 

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