Refer to urology for surgical resection of the left kidney mass.
Most complex kidney masses are malignant; thus, primary management is surgical resection of the mass. Because the goal in early- stage renal cell carcinoma is cure, definitive therapy should not be delayed. Although a CT-guided FNA of the kidney mass might confirm the diagnosis, surgical intervention is still mandatory because a negative FNA does not exclude malignancy.1
REFERENCES 1. Cohen HT, McGovern FJ. Renal-cell carcinoma. N Engl J Med 2005;353:2477-90.